Thomas E Hunt, DO

Individual provider Active NPI Internal Medicine Physician · Boardman, OH

NPI 1013978808 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1013978808
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
34007472H (OH)
Practice address
7206 Market St Ste 100a
Boardman, OH 44512-4507
Phone
(330) 726-3379
Fax
(330) 726-8683
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34007472HOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine Past Accepting new patients
BMH Professional Corporation Internal Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34007472H OH Yes

Addresses

Primary practice location

7206 Market St Ste 100a
Boardman, OH 44512-4507

Mailing address

7206 Market St Ste 100a
Boardman, OH 44512-4507
Phone (330) 726-3379

Other practice location 1

224 Parrish Rd
Conneaut, OH 44030-2013
Phone (440) 593-7360

Other practice location 2

224 Parrish Rd
Conneaut, OH 44030-2013
Phone (440) 593-7360

Other identifiers

IdentifierTypeStateIssuer
000000522234OtherOHANTHEM
2202717MedicaidOH
747376OtherOHBUCKEYE
7419196OtherOHAETNA
I07472OtherOHSUMMACARE

Other providers in Boardman, OH

All providers in Boardman, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.