Provider Demographics
NPI:1205013281
Name:INTERNAL MEDICINE AND REHABILITATION CONSULTANTS LLC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE AND REHABILITATION CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCELDOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-339-9139
Mailing Address - Street 1:8225 HARRISBURG RD
Mailing Address - Street 2:
Mailing Address - City:ORIENT
Mailing Address - State:OH
Mailing Address - Zip Code:43146-9528
Mailing Address - Country:US
Mailing Address - Phone:614-339-9139
Mailing Address - Fax:614-791-8154
Practice Address - Street 1:8225 HARRISBURG RD
Practice Address - Street 2:
Practice Address - City:ORIENT
Practice Address - State:OH
Practice Address - Zip Code:43146-9528
Practice Address - Country:US
Practice Address - Phone:614-339-9139
Practice Address - Fax:614-791-8154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007480M207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9374481Medicare PIN