Individual
THOMAS B. STYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 JAMES S. TRIMBLE BLVD., PAINTSVILLE, KY 41240-1055
(606) 789-3511
(606) 789-1432
Mailing address
PO BOX 409013, ATLANTA, GA 30384-9013
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23196
KY
208000000X
Pediatrics Physician
23196
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054162
BLUECROSS BLUESHIELD
KY
05
—
0104896-000
—
WV
05
—
0728583
—
OH
01
—
5490
MEDICARE GROUP
KY
01
—
5491
MEDICARE GROUP
KY
05
—
64231962
—
KY
01
—
6649
MEDICARE GROUP
KY
01
—
8001
MEDICARE GROUP
KY
01
—
930034855
RAILROAD
—
Enumeration date
01/11/2006
Last updated
04/24/2008
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