Individual
THOMAS S FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
745 W STATE ST, SUITE 750, COLUMBUS, OH 43222-1515
(614) 224-2281
(614) 221-8869
Mailing address
2786 SANDHURST DR, LEWIS CENTER, OH 43035-9367
(740) 657-3731
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
3506761F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000203679
ANTHEM BCBS
—
01
—
060060628
RAILROAD MEDICARE
OH
01
—
060060628
RAILROAD MEDICARE
—
05
—
2207463
—
OH
01
—
2502117
UNITED HEALTHCARE
—
01
—
2847815300
BUREAU OF WORKERS COM
OH
01
—
28478453001
MEDICAL MUTUAL OF OHIO
—
01
—
61238
NATIONWIDE
—
Enumeration date
04/07/2006
Last updated
06/02/2008
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