Basic Information
| Provider Information | |||||||||
| NPI: | 1154323137 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCALEAR | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5700 MONROE ST UNIT 209 | ||||||||
| Address2: | |||||||||
| City: | SYLVANIA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 435602735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192916720 | ||||||||
| FaxNumber: | 4192916729 | ||||||||
| Practice Location | |||||||||
| Address1: | 5700 MONROE ST UNIT 209 | ||||||||
| Address2: | |||||||||
| City: | SYLVANIA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 435602735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192916720 | ||||||||
| FaxNumber: | 4192916729 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2005 | ||||||||
| LastUpdateDate: | 10/10/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35058813 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0843930 | 05 | OH | MEDICAID | 01235 | 01 | OH | PARAMOUNT | OTHER | 000000141241 | 01 | OH | ANTHEM | OTHER | 0647867 | 01 | OH | AETNA | OTHER | 110176020 | 01 | OH | RRMC | OTHER | 04-02862 | 01 | OH | UHC | OTHER |