Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas E Hetherington, MD

Individual provider Anesthesiology Physician · NPI 1063450104

Thomas E Hetherington, MD is an Anesthesiology in Jefferson City, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2000, 26 years ago. Practices with The Curators of the University of Missouri, a 1,093-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 632-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2004023917 (MO)

Record details

NPI number1063450104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESMarch 7, 2023
Mailing address9120 Jonmar Ct, Saint Louis, MO 63123-5635

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2000 (26 years in practice)
Group practice The Curators Of The University Of Missouri — 1093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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