Individual provider · Type 1 NPI
Thomas E. Southern, MD
Plastic and Reconstructive Surgery Physician · Indianapolis, IN
NPI number
1104996370
Active
Practice location
3520 Guion Rd, Ste 301
Indianapolis, IN 46222-1672
Fax (317) 926-1465
Mailing address
PO Box 637999
Cincinnati, OH 45263-7999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | 01023497A (IN) |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 01023497A (IN) |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 01023497A (IN) |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 01023497A (IN) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 01023497A (IN) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
5 other providers at this address
- General and Advanced Laparoscopic Surgery, LLCSurgery Physician Indianapolis, IN NPI 1588811137
- Indiana General Surgery, P.c.Surgery Physician Indianapolis, IN NPI 1609889526
- Vision of Minority Women, LLCHome Health Agency Indianapolis, IN NPI 1114995610
- James R. Hodge, DOColon & Rectal Surgery Physician Indianapolis, IN NPI 1992998819
- Mary Jeanne O'Gara, MDInternal Medicine Physician Indianapolis, IN NPI 1952453409
Other plastic and reconstructive surgery physician providers in Indianapolis
- John J. Coleman Iii, MDPlastic and Reconstructive Surgery Physician Indianapolis, IN NPI 1033120340
- Craig Elder, MDPlastic and Reconstructive Surgery Physician Indianapolis, IN NPI 1073961637
- Charles Wallace Zollman, MDPlastic and Reconstructive Surgery Physician Indianapolis, IN NPI 1083715510
- Joseph John Fata, MDPlastic and Reconstructive Surgery Physician Indianapolis, IN NPI 1083836449
- Alan Michael Sadove, MDPlastic and Reconstructive Surgery Physician Indianapolis, IN NPI 1104850262
- Jason Matthew Blocksom, MDPlastic and Reconstructive Surgery Physician Indianapolis, IN NPI 1144488495
- Erin Weber, MD, PhDPlastic and Reconstructive Surgery Physician Indianapolis, IN NPI 1164654257
- Miguel A. Serpa IrizarryPlastic and Reconstructive Surgery Physician Indianapolis, IN NPI 1225592082
About NPI 1104996370
Thomas E. Southern, MD's National Provider Identifier is 1104996370, issued on Nov 8, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 19, 2013.