Thomas J. Small, MD, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25451 Issued in IN

Legal business name

THOMAS J. SMALL, MD, INC.

Practice address

1101 W Jefferson St
Suite H
Franklin, IN 46131-2147

Phone

(317) 736-9655

Fax

(317) 738-0922

NPI assigned

Mar 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas James Small, MD

Title

President

Phone

(317) 736-9655

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1205956364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W JEFFERSON ST",
            "address_2": "SUITE H",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312147",
            "telephone_number": "317-736-9655",
            "fax_number": "317-738-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W JEFFERSON ST",
            "address_2": "SUITE H",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312147",
            "telephone_number": "317-736-9655",
            "fax_number": "317-738-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. SMALL, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-736-9655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "25451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100154600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.