THOMAS E. SOUTHERN MD – NPI #1104996370
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

THOMAS SOUTHERN is a surgeon located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1104996370 to THOMAS SOUTHERN on November 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 13 years ago on Mar 19, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THOMAS SOUTHERN below.

NPI Profile for
THOMAS E. SOUTHERN

NPI Number
1104996370
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THOMAS E. SOUTHERN
Credentials
MD
Primary location
3520 GUION RD
STE 301
INDIANAPOLIS, IN 46222-1672
Phone: (317) 926-1356 Fax: (317) 926-1465
Mailing address
PO BOX 637999
CINCINNATI, OH 45263-7999
Phone: (317) 682-2030 Fax: (317) 644-5060
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for THOMAS SOUTHERN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSIN000000762785
MEDICAIDIN100073340A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.