Provider Demographics
NPI:1417951336
Name:PAPPAS, THOMAS M (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:PAPPAS
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 1:2940 N MCCORD RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1753
Mailing Address - Country:US
Mailing Address - Phone:419-842-3000
Mailing Address - Fax:419-842-3048
Practice Address - Street 1:2940 N MCCORD RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1753
Practice Address - Country:US
Practice Address - Phone:419-842-3000
Practice Address - Fax:419-842-3048
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301075386207RC0000X
OH35062553P207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00711876OtherRRMC
OH0224877Medicaid
OH4042889Medicare PIN
OH060055828Medicare PIN
MI23450010Medicare PIN
OH4178211Medicare PIN
MIMI1635007Medicare PIN
OH4010873Medicare PIN
OH0807599Medicare PIN
G34734Medicare UPIN
OH0224877Medicaid
OH4010876Medicare PIN
OH4042888Medicare PIN
OHPA4178213Medicare PIN
P00711876OtherRRMC
OH4010874Medicare PIN
OH4010877Medicare PIN
OH4042884Medicare PIN
MI0N23450Medicare PIN