Active NPI
Thomas Edward Furlong, MD
- Family Medicine Physician
- Middletown, OH
National Provider Identifier
1316035702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34862
- Practice address
- 74 N Breiel Blvd
Middletown, OH 45042-3804 - Phone
- (513) 424-7291
- Fax
- (513) 424-2289
- NPI assigned
- Oct 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34862 | OH | Primary |
Addresses
Primary practice location
74 N Breiel Blvd
Middletown, OH 45042-3804
Mailing address
25 Merchant Street
Suite 220
Cincinnati, OH 45246-3740
Phone (513) 533-6507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0276071 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34862 | OH | MD | Family Medicine Physician |
Interoperability endpoints
- thomasfurlong@fpaswo.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1316035702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MERCHANT STREET",
"address_2": "SUITE 220",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463740",
"telephone_number": "513-533-6507",
"fax_number": "513-645-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 N BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423804",
"telephone_number": "513-424-7291",
"fax_number": "513-424-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURLONG",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0276071",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.