Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 01082500A | IN |
NPI | 1104192343 |
---|---|
Provider Name | Jordan Schiller Thomas |
First Address | Columbus, OH 43204-4975 |
Second Address | Indianapolis, IN 46260-1992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 07/01/2020 |