Provider Demographics
NPI:1730188178
Name:MEYERS, THOMAS E (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:424 WARDS CORNER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6966
Mailing Address - Country:US
Mailing Address - Phone:513-576-7700
Mailing Address - Fax:513-576-1020
Practice Address - Street 1:6535 CHARLES SNIDER RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9588
Practice Address - Country:US
Practice Address - Phone:513-575-1444
Practice Address - Fax:513-575-1451
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2024-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.055795207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH35.055795OtherOHIO LICENSURE
OH0825021Medicaid
KY64868466Medicaid
KY55795OtherCHOICE CARE
KY64868466Medicaid