Provider Demographics
NPI:1275549701
Name:SCHMEISER, THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:SCHMEISER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278
Mailing Address - Country:US
Mailing Address - Phone:330-620-4915
Mailing Address - Fax:330-633-8462
Practice Address - Street 1:224 WEST AVE
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2110
Practice Address - Country:US
Practice Address - Phone:330-633-8341
Practice Address - Fax:330-633-8462
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-6905207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2289456Medicaid
OH34-00-6905OtherOHIO LIC #
OH34-00-6905OtherOHIO LIC #
OH4066762Medicare ID - Type Unspecified