MR. THOMAS J EADS (NPI# 1942303151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942303151 |
| Entity Type | Individual |
| Full Name | MR. THOMAS J EADS |
| Credential | MD |
| Practice Address |
53 South Park Blvd Greenwood IN 46143 |
| Practice Telephone | 3178897546 |
| Practice Fax Number | 3178892482 |
| Mailing Telephone | 3178897546 |
| Mailing Fax Number | 3178892482 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01047160 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000212068 | 01 |
| CIGNA | 8065087002 | 01 | |
| IN | AETNA | 7115094 | 01 |
| Street Address |
53 SOUTH PARK BLVD |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811090939 | Larry J Buckel | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2006-09-06 |
| 1174797443 | Stitle Dermatology, LLC | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2008-04-17 |
| 1285808550 | Greenwood Dermatology PC | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2008-04-17 |
| 1457446247 | Laura T Stitle | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386107829 | Strausburg Dermatology Group LLC | Dermatology | 92 S Park Blvd, Greenwood, IN 46143-8836 | 2019-04-11 |
| 1073704920 | Dennis J Doud Md Pa | Dermatology | 435 Epting Ave, Greenwood, SC 29646-4041 | 2007-08-06 |
| 1063530178 | Indiana Skin Cancer Center PC | Dermatology | 701 East County Line Rd, Ste 208, Greenwood, IN 46143 | 2007-03-27 |
| 1164580973 | Michael Edward Murphy | Dermatology | 701 E. County Line Road, Suite 208, Greenwood, IN 46143-1050 | 2006-12-05 |
| 1770959520 | Dermatology Associates of Indy LLC | Dermatology | 1700 W Smith Valley Rd, Ste. B, Greenwood, IN 46142-1599 | 2015-08-17 |
| 1942594031 | Camille Mason Md Pa | Dermatology | 435 Epting Ave, Greenwood, SC 29646-4041 | 2011-06-06 |
| 1174797443 | Stitle Dermatology, LLC | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2008-04-17 |
| 1285808550 | Greenwood Dermatology PC | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2008-04-17 |
| 1457446247 | Laura T Stitle | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2006-10-04 |
| 1841309754 | Ryan K Brashear | Dermatology | 533 E County Line Rd, #203, Greenwood, IN 46143-1073 | 2006-08-30 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.