Provider Demographics
NPI:1821091000
Name:VAIL, THOMAS (DPM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:VAIL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 WESTERN AVE
Mailing Address - Street 2:STE C
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1390
Mailing Address - Country:US
Mailing Address - Phone:419-423-1888
Mailing Address - Fax:419-425-3668
Practice Address - Street 1:1725 WESTERN AVE
Practice Address - Street 2:STE C
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1390
Practice Address - Country:US
Practice Address - Phone:419-423-1888
Practice Address - Fax:419-425-3668
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH36002326V213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0716363Medicaid
OH0716363Medicaid