Individual
THOMAS H TOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7500 STATE RD, ANESTHESIA INTENSIVE CARE CONSULTANTS INC, CINCINNATI, OH 45255-2439
(859) 341-7246
(859) 341-7867
Mailing address
L-6147, CINCINNATI, OH 45272-6147
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
170575
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
047615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000259043
ANTHEM
—
05
—
200422640
—
IN
05
—
2092220
—
OH
01
—
617721
WELLCARE
KY
01
—
728037
BUCKEYE
—
05
—
74005919
—
KY
Enumeration date
12/08/2005
Last updated
11/08/2011
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