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

Thomas E Southern, MD

Individual provider Plastic Surgery Physician · NPI 1104996370

Thomas E Southern, MD is a Plastic Surgery Physician in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
Specialties on file
5
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

3520 Guion Rd Ste 301
Indianapolis, IN 46222-1672
Phone: (317) 926-1356
Fax: (317) 926-1465
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Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 01023497A (IN)
Plastic Surgery Physician Taxonomy 208200000X · Licence 01023497A (IN)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence 01023497A (IN)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 01023497A (IN)
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X · Licence 01023497A (IN)

Record details

NPI number1104996370
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 8, 2006
Last updated in NPPESMarch 19, 2013
Mailing addressPo Box 637999, Cincinnati, OH 45263-7999

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