Thomas E Southern, MD - Surgery in Indianapolis, IN

Thomas E Southern, MD is a Surgery - Plastic And Reconstructive Surgery physician based in Indianapolis, Indiana. Thomas E Southern is licensed to practice in Indiana (license number 01023497A) and his current practice location is 3520 Guion Rd, Ste 301, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at (317) 926-1356.

NPI number for Thomas E Southern is 1104996370 and his current mailing address is Po Box 637999, Cincinnati, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104996370.

Contact Information

Thomas E Southern, MD
3520 Guion Rd, Ste 301,
Indianapolis, IN 46222-1672
(317) 926-1356
(317) 926-1465



Physician's Profile

Full NameThomas E Southern
GenderMale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location3520 Guion Rd, Indianapolis, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104996370
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 03/19/2013

Medical Identifiers

Medical identifiers for Thomas E Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104996370NPI-NPPES
000000762785OtherINBCBS
100073340AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 01023497A (Indiana)Secondary
2082S0099XPlastic Surgery - Plastic Surgery Within The Head And Neck 01023497A (Indiana)Secondary
2082S0105XPlastic Surgery - Surgery Of The Hand 01023497A (Indiana)Secondary
2086S0105XSurgery - Surgery Of The Hand 01023497A (Indiana)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery 01023497A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas E Southern is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas E Southern, MD
Po Box 637999,
Cincinnati, OH 45263-7999

Ph: (317) 682-2030
Thomas E Southern, MD
3520 Guion Rd, Ste 301,
Indianapolis, IN 46222-1672

Ph: (317) 926-1356

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