Provider Demographics
NPI:1003844366
Name:O'BRIEN, THOMAS M (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:237 WILLIAM HOWARD TAFT RD
Mailing Address - Street 2:2ND FLOOR, CBO 2-3
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2610
Mailing Address - Country:US
Mailing Address - Phone:513-206-1180
Mailing Address - Fax:513-206-1182
Practice Address - Street 1:7335 YANKEE RD
Practice Address - Street 2:SU. 201
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-0006
Practice Address - Country:US
Practice Address - Phone:513-206-1460
Practice Address - Fax:513-206-1479
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35082223O207RC0000X
OH35082223207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2833643Medicaid
OHOB4271271Medicare PIN