Individual
THOR TANGVALD IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
(513) 558-7700
(513) 558-5055
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA11553500
NJ
2084P0800X
Psychiatry Physician
33141
KY
2084P0800X
Psychiatry Physician
35.059078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64938137
—
KY
Enumeration date
01/08/2007
Last updated
02/03/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us