Provider Demographics
NPI:1942268339
Name:TAGHON, THOMAS A (DO)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:TAGHON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:ONE CHILDREN'S PLAZA - CHILDREN'S ANESTHESIA GROUP, INC
Mailing Address - Street 2:DAYTON CHILDREN'S HOSPITAL
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1815
Mailing Address - Country:US
Mailing Address - Phone:937-641-3350
Mailing Address - Fax:937-641-6145
Practice Address - Street 1:ONE CHILDREN'S PLAZA
Practice Address - Street 2:DAYTON CHILDREN'S HOSPITAL-CHILDREN'S CARE GROUP, INC.
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1815
Practice Address - Country:US
Practice Address - Phone:937-641-3350
Practice Address - Fax:937-641-6145
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2016-04-07
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Provider Licenses
StateLicense IDTaxonomies
OH34.008372207L00000X, 207LP3000X
OH34008372207LP2900X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2520954Medicaid
OHI20113Medicare UPIN