Individual
THOMAS M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5200 W BROAD ST, COLUMBUS, OH 43228-1609
(614) 544-1930
(614) 544-1928
Mailing address
PO BOX 951822, CLEVELAND, OH 44193-0020
(740) 687-8554
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34003809
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000289816
ANTHEM
—
05
—
0782176
—
OH
01
—
P00013854
MEDICARE RAILROAD
—
Enumeration date
06/12/2006
Last updated
12/22/2021
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