Provider Demographics
NPI:1356411540
Name:SANTO TOMAS, LINUS JOHN H (MD)
Entity type:Individual
Prefix:DR
First Name:LINUS JOHN
Middle Name:H
Last Name:SANTO TOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LINUS JOHN
Other - Middle Name:H
Other - Last Name:STO TOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:PULMONARY DISEASE
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-6633
Mailing Address - Fax:414-805-3859
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:PULMONARY DISEASE
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-6633
Practice Address - Fax:414-805-3859
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI38347207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1356411540Medicaid
290015026OtherRAILROAD MEDICARE
WI2123508OtherUHC
000810229444OtherPHCS
WI2123508OtherUHC
WI004573601Medicare PIN