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Individual

THOMAS PATRICK ARCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
477 COOPER RD STE 200, WESTERVILLE, OH 43081-8054
(614) 627-2000
(614) 221-8869
Mailing address
1322 BERKELEY CT, POWELL, OH 43065-7809
(614) 847-1898

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
35065935A
OH
207RA0002X
Adult Congenital Heart Disease Physician
35065935A
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35065935A
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000198947
ANTHEM BCBS
OH
01
060054384
RAILROAD MEDICARE
OH
01
060054384
RAILROAD MEDICARE
05
0956032
OH
01
13716
NATIONWIDE HEALTH PLANS
OH
01
2501822
UNITED HEALTHCARE OF OHIO
OH
01
289254
BLACK LUNG
01
366278
MEDIGAP BCBS
OH
01
4559220
CIGNA
01
45592200005
CIGNA
OH
Enumeration date
04/07/2006
Last updated
03/23/2022
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