Scott G Thomas
Vascular Surgeon
621 Memorial Dr Suite 502
South Bend
, Indiana 46601-1063
Scott G Thomas
Vascular Surgeon
621 Memorial Dr Suite 502
South Bend
, Indiana 46601-1063
(574) 237-6069
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Scott G Thomas
- 710 N Niles Ave
- South Bend, IN
- Zip : 46617-1924
- Fax : (574) 237-6069
- Phone : (574) 647-1610
Second Address
- Scott G Thomas
- 621 Memorial Dr Suite 502
- South Bend, IN
- Zip : 46601-1063
- Fax : (574) 647-5878
- Phone : (574) 647-5875
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 01037023A | IN |
National Provider Identifier
| NPI | 1033196126 |
|---|---|
| Provider Name | Scott G Thomas |
| First Address | South Bend, IN 46617-1924 |
| Second Address | South Bend, IN 46601-1063 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2005 |
| Last Update Date | 08/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000901457 | ANTHEM BCBS (01) | IN |
| 100338820 | (05) | IN |
| F51324 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.