Provider Demographics
NPI:1346438546
Name:THOMAS W INWOOD DPM INC
Entity Type:Organization
Organization Name:THOMAS W INWOOD DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:INWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:330-468-3338
Mailing Address - Street 1:367 W AURORA RD
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44067-2160
Mailing Address - Country:US
Mailing Address - Phone:330-468-3338
Mailing Address - Fax:330-468-3109
Practice Address - Street 1:367 W AURORA RD
Practice Address - Street 2:
Practice Address - City:SAGAMORE HILLS
Practice Address - State:OH
Practice Address - Zip Code:44067-2160
Practice Address - Country:US
Practice Address - Phone:330-468-3338
Practice Address - Fax:330-468-3109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002419213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2418879Medicaid
OH9334431Medicare PIN
OH1141180001Medicare NSC
OHDA3620Medicare PIN