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Thomas E Southern, MD
Plastic and Reconstructive Surgery Physician in Indianapolis, Indiana
NPI 1104996370

Thomas E Southern is a Plastic and Reconstructive Surgery Physician based in Cincinnati, IN and is specialized in Plastic and Reconstructive Surgery. Thomas E Southern practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Thomas E Southern is 1104996370 and holds a License No. 01023497A (Indiana).

The current practice location address for Thomas E Southern is 3520 Guion Rd, Indianapolis, IN and can be reached out via phone at 317-926-1356 and via fax at 317-926-1465. You can also correspond with Thomas E Southern through the mailing address at PO BOX 637999, CINCINNATI, OH - 45263-7999 (mailing address contact number: 317-682-2030).

Location: 3520 Guion Rd, Indianapolis, IN, 45263-7999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104996370
Provider Name
Thomas E Southern
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3520 Guion Rd, Indianapolis, IN, 45263-7999
Phone Number
317-926-1356
Fax Number
317-926-1465
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000762785 01 IN BCBS
100073340A 05 IN
institution
Provider Business Practice Location Address Details
Address
3520 Guion Rd
City
Indianapolis
State
Indiana
Zip
46222-1672
Phone Number
317-926-1356
Fax Number
317-926-1465
person
Provider Business Mailing Address Details
Address
3520 Guion Rd
City
Indianapolis
State
Indiana
Zip
46222-1672
Phone Number
317-926-1356
Fax Number
317-926-1465
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
01023497A (Indiana)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
01023497A (Indiana)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
01023497A (Indiana)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
01023497A (Indiana)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
01023497A (Indiana)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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