Provider Demographics
NPI:1689727240
Name:THOMAS B. DAY, M.D.,P.A.
Entity Type:Organization
Organization Name:THOMAS B. DAY, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:BAKER
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-747-4711
Mailing Address - Street 1:PO BOX 47756
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-0756
Mailing Address - Country:US
Mailing Address - Phone:410-747-4711
Mailing Address - Fax:410-747-4766
Practice Address - Street 1:7001 JOHNNYCAKE RD STE 104
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2419
Practice Address - Country:US
Practice Address - Phone:410-747-4711
Practice Address - Fax:410-747-4766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5433193P0001Medicaid
MDM11803OtherCONTROL DRUG - MARYLAND
MDM11803OtherCONTROL DRUG - MARYLAND
MDM11803OtherCONTROL DRUG - MARYLAND
D74521Medicare UPIN