THOMAS E SOUTHERN MD
NPI 1104996370
Surgery - Plastic and Reconstructive Surgery in Indianapolis, IN

Active since November 08, 2006
3520 GUION RD, STE 301, INDIANAPOLIS, IN 46222(317) 926-1356(317) 926-1465 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas E Southern Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS E SOUTHERN MD (NPI 1104996370) is an individual plastic and reconstructive surgery provider in Indianapolis, Indiana, licensed in Indiana (01023497A) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104996370
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameTHOMAS E SOUTHERNCredential: MD
Location Address3520 GUION RD, STE 301Indianapolis, IN 46222-1672
Mailing AddressPo Box 637999Cincinnati, OH 45263-7999 · (317) 682-2030 · Fax (317) 644-5060
Fax(317) 926-1465
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateMarch 19, 2013
NPI 1104996370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in IN · 01023497A
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 01023497A (IN)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 01023497A (IN)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 01023497A (IN)
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 01023497A (IN)
3520 GUION RD, Indianapolis, IN 46222

Other Identifiers 3

Other000000762785IN · Bcbs
Medicaid100073340AIN
Medicare PINM400068635IN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3520 GUION RD, SUITE 308
INDIANAPOLIS, IN 46222
Surgery
3520 GUION RD, SUITE 103
INDIANAPOLIS, IN 46222
Surgery
3520 GUION RD, SUITE 301
INDIANAPOLIS, IN 46222
Internal Medicine
3520 GUION RD, STE 100
INDIANAPOLIS, IN 46222
Colon & Rectal Surgery
3520 GUION RD, SUITE 307
INDIANAPOLIS, IN 46222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Southern's NPI number?

The NPI number for Thomas Southern is 1104996370. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Thomas Southern located?

Thomas Southern practices at 3520 Guion Rd Ste 301, Indianapolis, IN 46222. The listed phone number is (317) 926-1356.

What is Thomas Southern's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Thomas Southern was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.