THOMAS E SOUTHERN MD NPI 1104996370

NPI Information

NPI: 1104996370
Provider Name: THOMAS E SOUTHERN, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
3520 GUION RD
STE 301
INDIANAPOLIS, IN
ZIP 46222
Phone: (317) 926-1356
Get Directions

Thomas E Southern, MD is a plastic and reconstructive surgery surgery in Indianapolis, IN. The provider is a surgeon who specializes in plastic and reconstructive surgery. Thomas E Southern, MD NPI is 1104996370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3520 GUION RD
STE 301
INDIANAPOLIS, IN
ZIP 46222-672
Phone: (317) 926-1356
Fax: (317) 926-1465

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery		01023497A	INDIANA	No
2	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	01023497A	INDIANA	No
3	2082S0105X	Plastic Surgery	Surgery of the Hand	01023497A	INDIANA	No
4	2086S0105X	Surgery	Surgery of the Hand	01023497A	INDIANA	No
5	2086S0122X	Surgery	Plastic and Reconstructive Surgery	01023497A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000762785	OTHER	INDIANA	BCBS
2	100073340A	MEDICAID	INDIANA
3	M400068635	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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