Thomas J Small (NPI# 1720083082, PAC ID# 9638103807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1720083082 |
| PAC ID by PECOS | 9638103807 |
| Professional Enrollment ID | I20081203000408 |
| Full Name | Thomas J Small |
| Organization Legal Name | INDIANA PHYSICIAN MANAGEMENT-JENNINGS, LLC |
| Address |
301 Henry St North Vernon IN 47265-1030 |
| Phone Number | 8665886897 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 7911185509 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151303 | ST VINCENT JENNINGS HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 301 Henry St, North Vernon, IN 47265-1030 | 8665886897 | INDIANA PHYSICIAN MANAGEMENT-JENNINGS, LLC |
| Organization Legal Name | INDIANA PHYSICIAN MANAGEMENT-JENNINGS, LLC |
| Physicians | 1 |
| Street Address |
301 HENRY ST |
| City | NORTH VERNON |
| State | IN |
| Zip | 47265-1030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynnette Caudill Wickliff | Nurse Practitioner | St Vincent Medical Group Inc | 301 Henry St, Building B, North Vernon, IN 47265-1030 |
| Nancy Ellen Marshall | Internal Medicine | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Katherine Denise Conover | Nurse Practitioner | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Linda Renee Hefner | Pediatric Medicine | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Judith Ann Koehler | Internal Medicine | St Vincent Medical Group Inc | 301 Henry St, Building B, North Vernon, IN 47265-1030 |
| Margaret Gibson Parker | Nurse Practitioner | St Vincent Medical Group Inc | 301 Henry St, North Vernon, IN 47265-1030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chassie A Broadus | Optometry | Expert Eyecare PC | 401 Henry St, North Vernon, IN 47265-1003 |
| William D Burnett | Optometry | Expert Eyecare PC | 401 Henry St, North Vernon, IN 47265-1003 |
| James T Lisle | Optometry | Lisle Family Eye Care Inc | 747 N State St, Eye Care Group, North Vernon, IN 47265-1044 |
| Anthony Ezra Lilly | Clinical Psychologist | 753 N State St, North Vernon, IN 47265-1044 | |
| Sharlene C Banks | Certified Clinical Nurse Specialist (cns) | Southeast Indiana Mental Health Professionals,llc | 257 E Main St, North Vernon, IN 47265-1510 |
| Robert Ellsworth Dailey | Psychologist, Clinical | Southeast Indiana Mental Health Professionals,llc | 257 E Main St, North Vernon, IN 47265-1510 |
| Leonard Ezekiel Miller Jr. | Clinical Psychologist | Southeast Indiana Mental Health Professionals,llc | 257 E Main St, North Vernon, IN 47265-1510 |
| Kirk A Hearne | Optometry | 130 N State St, North Vernon, IN 47265-1724 | |
| Trevor C Miller | Chiropractic | 209 S State St, North Vernon, IN 47265-1818 | |
| Neil S Hill | Family Medicine | 939 Veterans Dr A, North Vernon, IN 47265-2603 | |
| Find all physicians in zip 47265 | |||
| City | NORTH VERNON |
| Zip Code | 47265 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NORTH VERNON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Thomas J Small.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.