Thomas J White Jr., CST/CFA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

5255 E Stop 11 Rd
# 300
Indianapolis, IN 46237-6340

Phone

(317) 884-5200

Fax

(317) 884-5360

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285665406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 E STOP 11 RD",
            "address_2": "# 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376340",
            "telephone_number": "317-884-5200",
            "fax_number": "317-884-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 E STOP 11 RD",
            "address_2": "# 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376340",
            "telephone_number": "317-884-5200",
            "fax_number": "317-884-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "CST/CFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000374462",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon White
• Shelonda White
• Shya L White, RBT
• Sierra White, RBT
• Stephanie Dixon White, MSW, LCSW
• Tiauna Krysten Ruth White
• Valerie Ann White, DDS
• Walter Guy White, MSPT
• Whitney Breanne White, BCBA
• Yvette Renee White, MS,CCC-SLP

• Surgical Technologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Surgical Technologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.