Provider Demographics
NPI:1497849731
Name:BENDER, THOMAS ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:ARTHUR
Last Name:BENDER
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 1:3345 WHITFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2083
Mailing Address - Country:US
Mailing Address - Phone:513-221-3232
Mailing Address - Fax:513-961-3708
Practice Address - Street 1:3345 WHITFIELD AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2083
Practice Address - Country:US
Practice Address - Phone:513-221-3232
Practice Address - Fax:513-961-3708
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.041132207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0386363Medicaid
A77976Medicare UPIN
OH0457033Medicare PIN