Individual
THOMAS A TOMSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, RADIOLOGY, CINCINNATI, OH 45219-2364
(513) 584-1584
(513) 584-9100
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
35-03-3323-T
OH
2085R0202X
Diagnostic Radiology Physician
35-03-3323
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013755
ANTHEM
OH
05
—
0327855
—
OH
05
—
200039190A
—
IN
01
—
300033852
RAILROAD MEDICARE
OH
05
—
64765944
—
KY
01
—
655301
AETNA
OH
Enumeration date
08/16/2006
Last updated
02/21/2018
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