DR. THOMAS M SHIRCK (NPI# 1922030592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922030592 |
| Entity Type | Individual |
| Full Name | DR. THOMAS M SHIRCK |
| Credential | D.O. |
| Practice Address |
4925 Bradenton Ave Suite C Dublin OH 43017-7532 |
| Practice Telephone | 6143367666 |
| Practice Fax Number | 6143367682 |
| Mailing Telephone | 6143367666 |
| Mailing Fax Number | 6143367682 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
34002905 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0489350 | 05 |
| Street Address |
4925 BRADENTON AVE SUITE C |
| City | DUBLIN |
| State | OH |
| Zip Code | 43017-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982986204 | Dublin Family Vision Center Inc | Optometrist | 4925 Bradenton Ave, Suite A, Dublin, OH 43017-7532 | 2011-09-13 |
| 1730374729 | Susan Lachance Julian | Audiologist | 4925 Bradenton Ave, Suite C, Dublin, OH 43017-7532 | 2007-09-12 |
| 1013079771 | Carolyn Sue Clark | Optometrist | 4925 Bradenton Ave, Suite A, Dublin, OH 43017-7532 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1356814560 | Trishaya Spain-austin | Behavior Technician | 545 Metro Place North, Suite 100, Dublin, OH 43017 | 2019-01-10 |
| 1669955902 | Tamara Moss | Occupational Therapist | 10516 Sawmill Road, Suite B, Dublin, OH 43017 | 2018-09-12 |
| 1548753692 | Complex Wound Consultant L.L.C. | Surgery | 5712 Southby Ct, Dublin, OH 43017 | 2018-06-13 |
| 1063916948 | Enabling Recovery LLC | Community/Behavioral Health | 5945 Sawmill Rd Ste B, Dublin, OH 43017 | 2018-03-23 |
| 1750898839 | Inner Health Chiropractic, Inc | Chiropractor | 220 West Bridge, Inner Health Chiropractic, Dublin, OH 43017 | 2018-01-10 |
| 1598274144 | Catherine Ann Albrecht | Case Manager/Care Coordinator | 525 Metro Place N., Dublin, OH 43017 | 2017-09-27 |
| 1346769338 | Rachel Mary Baldwin | Speech-Language Pathologist | 9892 Macdonald Dr., Dublin, OH 43017 | 2017-09-12 |
| 1629596275 | Julie Battaglia | Counselor | 525 Metro Place, Suite 100, Dublin, OH 43017 | 2017-09-05 |
| 1205365541 | Tracey Lechner | Speech-Language Pathologist | 7424 Coventry Woods Drive, Dublin, OH 43017 | 2017-06-09 |
| Find all providers in zip 43017 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629620323 | Bapna Facial Plastics LLC | Otolaryngology | 5378 Avery Rd, Dublin, OH 43016-6933 | 2019-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942527551 | David G. Reed, Md, Inc. | Otolaryngology | 7087 West Boulevard, Youngstown, OH 44512 | 2010-04-23 |
| 1952454753 | Mark Mandell-brown Md, Inc | Otolaryngology | 10735 Montgomery Rd, Cincinnati, OH 45242-3215 | 2007-01-18 |
| 1336297365 | Reza Bolourian | Otolaryngology | 10260 Sawmill Pkwy, Powell, OH 43065-9189 | 2007-01-08 |
| 1003994062 | Michael Broniatowski | Otolaryngology | 2322 East 22nd Street, Suite 200, Cleveland, OH 44115 | 2006-11-01 |
| 1033204193 | Central Ohio Ear Nose and Throat Inc. | Otolaryngology | 41 Commerce Park Dr., Westerville, OH 43082 | 2006-10-04 |
| 1366471989 | Eugene David Herrmann | Otolaryngology | 1055 Summitt Sq, Middletown, OH 45042-3464 | 2006-07-03 |
| 1205896131 | George F White | Otolaryngology | 3606 Sheridan Rd, Portsmouth, OH 45662-2357 | 2006-03-24 |
| 1386620540 | David George Reed | Otolaryngology | 7087 West Blvd, Youngstown, OH 44512-7333 | 2005-12-20 |
| 1780689117 | James W Bean | Otolaryngology | 6720 Loop Rd, Centerville, OH 45459-2161 | 2005-06-14 |
| 1609392232 | Michael Roskies | Otolaryngology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.