Provider Demographics
NPI:1619098068
Name:PERRIN, THOMAS (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:PERRIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:720 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2626
Mailing Address - Country:US
Mailing Address - Phone:615-778-4066
Mailing Address - Fax:615-778-9114
Practice Address - Street 1:5604 W 74TH ST
Practice Address - Street 2:BUILDING #117
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-1752
Practice Address - Country:US
Practice Address - Phone:317-290-1551
Practice Address - Fax:317-290-2052
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2009-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01027139A2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN256960Medicare PIN
IN256960AMedicare UPIN