Active NPI
Thomas Milton Mayer, M.D., FACS
- Otolaryngology Physician
- Fort Thomas, KY
National Provider Identifier
1053499038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 19493
- Practice address
- 40 N Grand Ave
Suite 101
Fort Thomas, KY 41075-4107 - Phone
- (859) 781-4900
- Fax
- (859) 572-3044
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 19493 | KY | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | 19493 | KY | |
| Otolaryngic Allergy Physician | 207YX0602X | 19493 | KY | |
| Otology & Neurotology Physician | 207YX0901X | 19493 | KY |
Addresses
Primary practice location
40 N Grand Ave
Suite 101
Fort Thomas, KY 41075-4107
Mailing address
40 N Grand Ave
Suite 101
Fort Thomas, KY 41075-4107
Phone (859) 781-4900
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65917965 | Medicaid | KY | |
| 1046545 | Other | IN | IN MEDICAL LICENSE |
| 64194939 | Medicaid | KY | |
| 000000033776 | Other | ANTHEM | |
| 100015770 | Medicaid | IN | |
| 4044101 | Other | AETNA | |
| 701333 | Medicaid | OH | |
| 701342 | Medicaid | OH | |
| 10-20163 | Other | UNITED HEALTHCARE | |
| 1094 | Other | CHA | |
| 19493 | Other | KY | KY MEDICAL LICENSE |
| 35033598 | Other | OH | OH MEDICAL LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19493 | KY | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head and Neck Surgery Associates, PSC | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Fort Thomas, KY
- NPI 1760569545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1053499038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 N GRAND AVE",
"address_2": "SUITE 101",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410754107",
"telephone_number": "859-781-4900",
"fax_number": "859-572-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 N GRAND AVE",
"address_2": "SUITE 101",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410754107",
"telephone_number": "859-781-4900",
"fax_number": "859-572-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "THOMAS",
"middle_name": "MILTON",
"name_prefix": "Dr.",
"credential": "M.D., FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "19493",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "KY",
"license": "19493",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "KY",
"license": "19493",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "KY",
"license": "19493",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65917965",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN MEDICAL LICENSE",
"identifier": "1046545",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64194939",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000033776",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100015770",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4044101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "701333",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "701342",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "10-20163",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "1094",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAL LICENSE",
"identifier": "19493",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAL LICENSE",
"identifier": "35033598",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.