Provider Demographics
NPI:1487648564
Name:MENKE, THOMAS E (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:MENKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1760 NICHOLASVILLE RD
Mailing Address - Street 2:STE 604
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1471
Mailing Address - Country:US
Mailing Address - Phone:859-255-9059
Mailing Address - Fax:859-254-3112
Practice Address - Street 1:1760 NICHOLASVILLE RD
Practice Address - Street 2:STE 604
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1471
Practice Address - Country:US
Practice Address - Phone:859-255-9059
Practice Address - Fax:859-254-3112
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2010-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY29778207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000050373OtherANTHEM BCBS
KY64297781Medicaid
KY666082OtherANTHEM BCBS
KY000000050373OtherANTHEM BCBS
KYP400016399Medicare PIN
KY666082OtherANTHEM BCBS