Provider Demographics
NPI:1215930060
Name:INWOOD, THOMAS W (DPM)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:INWOOD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 W AURORA RD
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44067-2160
Mailing Address - Country:US
Mailing Address - Phone:330-468-3338
Mailing Address - Fax:330-468-3109
Practice Address - Street 1:367 W AURORA RD
Practice Address - Street 2:
Practice Address - City:SAGAMORE HILLS
Practice Address - State:OH
Practice Address - Zip Code:44067-2160
Practice Address - Country:US
Practice Address - Phone:330-468-3338
Practice Address - Fax:330-468-3109
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002419213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000133937OtherANTHEMOHBS
OH0682168Medicaid
OH0599891Medicare PIN
OH000000133937OtherANTHEMOHBS