Thomas William Mcgovern in Fort Wayne - Procedural Dermatology
Thomas William Mcgovern - NPI 1982702742
Thomas William Mcgovern is a Procedural Dermatology in Fort Wayne, Indiana. Thomas William Mcgovern practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Thomas William Mcgovern is 1982702742. The last update date is 2023-03-07.
Thomas William Mcgovern's current location address is 7881 Carnegie Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604368000 and fax number 2604325587. The mailing address for Thomas William Mcgovern is 7881 Carnegie Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas William Mcgovern |
|---|---|
| Address | 7881 Carnegie Blvd, Fort Wayne, Indiana |
| Phone Number | 2604368000 |
| Fax Number | 2604325587 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982702742 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 7881 Carnegie Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468045792 |
| Phone Number | 2604368000 |
| Fax Number | 2604325587 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 01052178A |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01052178B | IN | CSR LICENSE NUMBER | |
| 200254690 | IN | -- | |
| 2576 | PHP | ||
| 5878557 | AETNA | ||
| P00060564 | MEDICARE RAILROAD | ||
| 308075 | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas William Mcgovern by the Centers for Medicare & Medicaid Services?
The Thomas William Mcgovern has been assigned the NPI (National Provider Identifier) 1982702742. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Thomas William Mcgovern's facilities are geographically located?
The facilities of Thomas William Mcgovern are physically situated at the following location: 7881 Carnegie Blvd, Fort Wayne, IN, 468045792.
What is Thomas William Mcgovern's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas William Mcgovern's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982702742 to Thomas William Mcgovern?
The Centers for Medicare & Medicaid Services assigned the 1982702742 to Thomas William Mcgovern on 2006-09-20.
As of what date were the details pertaining to Thomas William Mcgovern last refreshed?
The information related to the Thomas William Mcgovern, including its address, specialty, and other relevant details, was last updated on 2023-03-07.