Provider Demographics
NPI:1992758197
Name:SWEAT, THOMAS MATTHEW (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:MATTHEW
Last Name:SWEAT
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:PO BOX 950202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0202
Mailing Address - Country:US
Mailing Address - Phone:502-272-5100
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:210 E GRAY ST
Practice Address - Street 2:SUITE 1002
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3900
Practice Address - Country:US
Practice Address - Phone:502-584-2029
Practice Address - Fax:502-584-0873
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045791207RC0000X
KY27422207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1106200Medicaid
KY50031804OtherPASSPORT/PASSPORT ADVANTAGE - CTS/NCC
KY64274228Medicaid
KY000057094SOtherHUMANA - CTS/NCC
KY5734577OtherCIGNA - CTS/NCC
KY004236OtherSIHO - CTS/NCC
KY000000066041OtherANTHEM
KY000000708284OtherANTHEM - CTS/NCC
IN200094110Medicaid
KY2436480000OtherPASSPORT ADVANTAGE
KYP00912394Medicare PIN
INP00912401Medicare PIN
KYP400036493Medicare PIN
KY000057094SOtherHUMANA - CTS/NCC
KY2436480000OtherPASSPORT ADVANTAGE
KY000000066041OtherANTHEM
KY000000708284OtherANTHEM - CTS/NCC