| Dr Thomas Owen Gifford, MD | |
|
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 522-6800 | |
| Not Available |
| Full Name | Dr Thomas Owen Gifford |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 22 Years |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538224803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 23247 (North Dakota) | Secondary |
| 207Y00000X | Otolaryngology | 6029575-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Clinic Inc | 3375610116 | 353 |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Owen Gifford, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9129 | Dr Thomas Owen Gifford, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 522-6800 |
Dr. Amy Medley Moore, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 379-522-6800 | |
Dr. Michael Stephan Xydakis, MD, MSC Otolaryngology Medicare: Medicare Enrolled Practice Location: 88th Medical Group, 4881 Sugar Maple Drive, Bldg 830, Wright Patterson Afb, OH 45433 Phone: 937-656-5434 |