Provider Demographics
NPI:1427168384
Name:ORMSBY, THOMAS MATTHEW (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MATTHEW
Last Name:ORMSBY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1659 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-3405
Mailing Address - Country:US
Mailing Address - Phone:330-220-6111
Mailing Address - Fax:330-220-6115
Practice Address - Street 1:1659 PEARL RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-3405
Practice Address - Country:US
Practice Address - Phone:330-220-6111
Practice Address - Fax:330-220-6115
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH06-1819339OtherNEW TAX ID
OH65-1193513OtherTAX ID
OH000000383514OtherANTHEM BC/BS
OH2415050Medicaid
OH06-1819339OtherNEW TAX ID
OH65-1193513OtherTAX ID
OH000000383514OtherANTHEM BC/BS