Provider Demographics
NPI:1821182882
Name:BURWINKEL, THOMAS H (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:H
Last Name:BURWINKEL
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 1:3805 EDWARDS RD STE 450
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1948
Mailing Address - Country:US
Mailing Address - Phone:513-924-5550
Mailing Address - Fax:513-924-5551
Practice Address - Street 1:3533 SOUTHERN BLVD
Practice Address - Street 2:SUITE 4100
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1264
Practice Address - Country:US
Practice Address - Phone:937-395-8444
Practice Address - Fax:937-395-8455
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3505519207VE0102X
OH35055519207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
905724EOtherAMERICAN BD. OF OBGYN
A17578Medicare UPIN