Provider Demographics
NPI:1326068503
Name:HAMILTON, THOMAS E (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 HAL GREER BOULEVARD
Mailing Address - Street 2:ATTN: TAMMIE SILVA
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3800
Mailing Address - Country:US
Mailing Address - Phone:304-526-2053
Mailing Address - Fax:304-526-2547
Practice Address - Street 1:1340 HAL GREER BOULEVARD
Practice Address - Street 2:ATTN: TAMMIE SILVA
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3800
Practice Address - Country:US
Practice Address - Phone:304-526-2053
Practice Address - Fax:304-526-2547
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34517207P00000X
WV19422207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0048671000Medicaid
WVP00711764OtherMEDICARE - RR CABELL HUNTINGTON HOSPITAL
KY000000377988OtherANTHEM
WV7397211OtherMEDICARE - CABELL HUNTINGTON HOSPITAL
KYP00264747OtherRR-MEDICARE
KY64345176Medicaid
WVP00711764OtherMEDICARE - RR CABELL HUNTINGTON HOSPITAL
KY64345176Medicaid