Thomas J. Willke MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.043264 Issued in OH

Legal business name

THOMAS J. WILLKE MD, INC

Doing business as

INDIAN SPRINGS FAMILY MEDICINE

Practice address

4125 Hamilton Middletown Rd
Hamilton, OH 45011-2262

Phone

(513) 863-6222

Fax

(513) 863-6478

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas John Willke, M.D.

Title

President

Phone

(513) 863-6222

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• INDIAN SPRINGS FAMILY MEDICINE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Stanley Fenton, MD

  • Family Medicine Physician
  • Hamilton, OH
  • NPI 1497819304
  NPD (past)

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1922277383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 HAMILTON MIDDLETOWN RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112262",
            "telephone_number": "513-863-6222",
            "fax_number": "513-863-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 HAMILTON MIDDLETOWN RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112262",
            "telephone_number": "513-863-6222",
            "fax_number": "513-863-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. WILLKE MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "WILLKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-863-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.043264",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.043264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392338",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20001762A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDIAN SPRINGS FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eric C Thomas, LPCC
• Geraldine Thomas, NP
• Joyce Thomas
• Julie Thomas, LISW

• Family Medicine Physician in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.