| Thomas P. Von Unrug Md Inc | |
|
1401 Harrodsburg Rd Ste B299 Lexington KY 40504-3747 | |
| (859) 276-0714 | |
| (859) 276-0363 |
| Full Name | Thomas P. Von Unrug Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Harrodsburg Rd Ste B299, Lexington, Kentucky |
| Authorized Official Name and Position | Thomas P Von Unrug (OWNER) |
| Authorized Official Contact | 8592760714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas P. Von Unrug Md Inc 1401 Harrodsburg Rd Ste B299 Lexington KY 40504-3747 Ph: (859) 276-0714 | Thomas P. Von Unrug Md Inc 1401 Harrodsburg Rd Ste B299 Lexington KY 40504-3747 Ph: (859) 276-0714 |
| NPI Number | 1003134537 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 10/13/2021 |
| Medicare PECOS PAC ID | 0840320891 |
|---|---|
| Medicare Enrollment ID | O20100617000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003134537 | NPI | - | NPPES |
| 64313646 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 31364 (Kentucky) | Primary |
| Provider Name | Thomas P Von Unrug |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295779957 PECOS PAC ID: 3870576515 Enrollment ID: I20040630000409 |
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