Thomas J Hurm, D.O
Individual provider Active NPI Family Medicine Physician · Coldwater, OH
NPI 1730121773 · NPPES record last updated Nov 26, 2007
Key facts
- NPI
- 1730121773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34007343 (OH)
- Practice address
- 809 W Main St
Suite 1
Coldwater, OH 45828-1656 - Phone
- (419) 678-2381
- Fax
- (419) 678-2040
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Carmel Healthproviders Inc
Practice addresses (Care Compare)
3000 Meadow Pond CT
Suite 100
Grove City, OH 43123-9827
Phone (614) 663-4020
495 Cooper Rd
Suite 311
Westerville, OH 43081-8729
Phone (614) 627-1490
55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878
Hospital & facility affiliations
- Mount Carmel Home Care
- Mount Carmel East & West
- Mount Carmel St Ann'S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040929001308 | OH | Practitioner - Family Practice | 0143299701 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007343 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Healthproviders Inc | Family Medicine | Current | Accepting new patients |
| Wedgewood Urgent Care, LTD | Family Medicine | Current |
Accepting new patients |
| Mount Carmel Health Providers Inc | Family Medicine | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
4460 Lake Forest Dr
Ste 216
Blue Ash, OH 45242
Phone (614) 234-0600
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
5677 Scioto Darby Rd
Hilliard, OH 43026
Phone (614) 777-9804
55 N High St
New Albany, OH 43054
Phone (614) 627-1878
495 Cooper Rd
Ste 311
Westerville, OH 43081
Phone (614) 627-1490
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34007343 | OH | Yes |
Addresses
Primary practice location
809 W Main St
Suite 1
Coldwater, OH 45828-1656
Mailing address
809 W Main St
Suite 1
Coldwater, OH 45828-1656
Phone (419) 678-2381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203672 | Medicaid | OH |
Other providers in Coldwater, OH
- Kelsey Homan
- Kurtis Homan
- Joel Howe
- Jenny Renae Hoyng
- Robert Michael Hoyng
- Michelle Imwalle
- Melisha Lynn Jansen
- Brittany Kaiser
- Wayne R Kettler
- Diane Klenke
All providers in Coldwater, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.