Provider Demographics
NPI:1013978808
Name:HUNT, THOMAS E (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:HUNT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7206 MARKET ST STE 100A
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4507
Mailing Address - Country:US
Mailing Address - Phone:330-726-3379
Mailing Address - Fax:330-726-8683
Practice Address - Street 1:7206 MARKET ST STE 100A
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4507
Practice Address - Country:US
Practice Address - Phone:330-726-3379
Practice Address - Fax:330-726-8683
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007472H207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000522234OtherANTHEM
OH2202717Medicaid
OH747376OtherBUCKEYE
OH7419196OtherAETNA
OHI07472OtherSUMMACARE
OH2202717Medicaid
OH000000522234OtherANTHEM
H28738Medicare UPIN
OH4033544Medicare PIN