Active NPI
Thomas E Hennig, MD
- Anesthesiology Physician
- Columbus, IN
National Provider Identifier
1457384455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01029470A
- Practice address
- 3200 Sycamore CT Ste 1B
Columbus, IN 47203-1545 - Phone
- (812) 378-9027
- Fax
- (812) 378-1014
- NPI assigned
- Jul 10, 2006
- Last updated
- Oct 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01029470A | IN | Primary |
Addresses
Primary practice location
3200 Sycamore CT Ste 1B
Columbus, IN 47203-1545
Mailing address
3200 Sycamore CT Ste 1B
Columbus, IN 47203-1545
Phone (812) 378-9027
Other practice location 1
234 California St
Columbus, IN 47201-6826
Phone (812) 378-9027
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000087838 | Other | IN | ANTJHEM PIN# |
| 100052460 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1457384455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SYCAMORE CT STE 1B",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472031545",
"telephone_number": "812-378-9027",
"fax_number": "812-378-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SYCAMORE CT STE 1B",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472031545",
"telephone_number": "812-378-9027",
"fax_number": "812-378-1014"
}
],
"practiceLocations": [
{
"address_1": "234 California St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "IN",
"postal_code": "472016826",
"country_code": "US",
"telephone_number": "812-378-9027",
"fax_number": "812-378-1014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNIG",
"first_name": "THOMAS",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01029470A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTJHEM PIN#",
"identifier": "000000087838",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100052460",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.