Provider Demographics
NPI:1922711431
Name:GOINES, THOMAS SR
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:GOINES
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3952 MALAER DR
Mailing Address - Street 2:
Mailing Address - City:SHARONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2621
Mailing Address - Country:US
Mailing Address - Phone:513-771-0157
Mailing Address - Fax:
Practice Address - Street 1:3952 MALAER DR
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-2621
Practice Address - Country:US
Practice Address - Phone:513-771-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health