Individual provider Active NPI

Thomas M Schrimpf, MD

  • Otolaryngology Physician
  • Cincinnati, OH
National Provider Identifier
1023089026
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
350422875 Issued in OH
Practice address
5630 Bridgetown Rd Ste 4
Cincinnati, OH 45248-4346
Phone
(513) 598-5102
Fax
(513) 598-5104
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 350422875 OH Primary

Addresses

Primary practice location

5630 Bridgetown Rd Ste 4
Cincinnati, OH 45248-4346

Mailing address

5630 Bridgetown Rd Ste 4
Cincinnati, OH 45248-4346
Phone (513) 598-5102

Other identifiers 2

IdentifierTypeStateIssuer
0492917MedicaidOH
100010770AMedicaidIN

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
350422875OHMDOtolaryngology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1023089026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 BRIDGETOWN RD STE 4",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452484346",
            "telephone_number": "513-598-5102",
            "fax_number": "513-598-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 BRIDGETOWN RD STE 4",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452484346",
            "telephone_number": "513-598-5102",
            "fax_number": "513-598-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRIMPF",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "350422875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492917",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100010770A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.