Provider Demographics
NPI:1396786687
Name:HILLMAN, THOMAS MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:HILLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:ONE FRANCISCAN WAY
Mailing Address - Street 2:STE 280
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45408-1470
Mailing Address - Country:US
Mailing Address - Phone:937-424-5470
Mailing Address - Fax:937-424-5486
Practice Address - Street 1:ONE FRANCISCAN WAY
Practice Address - Street 2:STE 280
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45408-1470
Practice Address - Country:US
Practice Address - Phone:937-424-5470
Practice Address - Fax:937-424-5486
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35043710207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000315755OtherBCBS PROVIDER ID
OH3401019811OtherCLIA ID
OH35043710OtherOHIO STATE LICENSE
OHHO9337121OtherHOMECAREDOCTORS MEDICARE
OH0408795Medicaid
OH2431827OtherHOMECARE DOCTORS MEDICAID
OH04-09086OtherUHC PROVIDER ID
OH04-09086OtherUHC PROVIDER ID
OH000000315755OtherBCBS PROVIDER ID
OH04-09086OtherUHC PROVIDER ID