Provider Demographics
NPI:1215096854
Name:ROJEWSKI, THOMAS (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:ROJEWSKI
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 1:2945 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1762
Mailing Address - Country:US
Mailing Address - Phone:740-454-0158
Mailing Address - Fax:740-454-6321
Practice Address - Street 1:2945 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1762
Practice Address - Country:US
Practice Address - Phone:740-454-0158
Practice Address - Fax:740-454-6321
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-1799R207YS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0397726Medicaid
OH0397726Medicaid
OH0496838Medicare PIN
OHA80039Medicare UPIN