Provider Demographics
NPI:1750390415
Name:THOMAS, STEVEN EDWARD (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:EDWARD
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1263 HOSPITAL DR NW STE 270
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-2178
Mailing Address - Country:US
Mailing Address - Phone:812-738-0177
Mailing Address - Fax:812-738-7834
Practice Address - Street 1:1263 HOSPITAL DR NW STE 270
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2178
Practice Address - Country:US
Practice Address - Phone:812-738-0177
Practice Address - Fax:812-738-7834
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31970208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200238000Medicaid
KY64319700Medicaid
IN200238000Medicaid
KY0301514Medicare PIN
IN200238000Medicaid