Thomas E Southern in Indianapolis - Plastic And Reconstructive Surgery
Thomas E Southern - NPI 1104996370
Thomas E Southern is a Plastic And Reconstructive Surgery in Indianapolis, Indiana. Thomas E Southern practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Thomas E Southern is 1104996370. The last update date is 2013-03-19.
Thomas E Southern's current location address is 3520 Guion Rd, Indianapolis, Indiana. You can contact this provider via phone number 3179261356 and fax number 3179261465. The mailing address for Thomas E Southern is 3520 Guion Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas E Southern |
|---|---|
| Address | 3520 Guion Rd, Indianapolis, Indiana |
| Phone Number | 3179261356 |
| Fax Number | 3179261465 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104996370 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2013-03-19 |
Provider Mailing Address Detail
| Address | 3520 Guion Rd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462221672 |
| Phone Number | 3179261356 |
| Fax Number | 3179261465 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 01023497A |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 762785 | IN | BCBS | |
| 100073340A | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Thomas E Southern by the Centers for Medicare & Medicaid Services?
The Thomas E Southern has been issued the NPI (National Provider Identifier) 1104996370. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas E Southern located?
The Thomas E Southern is located at 3520 Guion Rd, Indianapolis, IN 462221672.
What is Thomas E Southern's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Thomas E Southern is Plastic And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104996370 to Thomas E Southern?
The Centers for Medicare & Medicaid Services originally issued the 1104996370 to Thomas E Southern on 2006-11-08.
When was the information regarding Thomas E Southern most recently updated?
The details pertaining to the Thomas E Southern, including its address, specialty, and other relevant information, were last refreshed on 2013-03-19.
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