# THOMAS S. HASTETTER MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evansville OBGYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114059839
- **Authorized official:** LISA K HASTETTER (ADMINISTRATOR)
- **Authorized official phone:** (812) 476-6161

## Contact information

- **Practice address:** 7145 E VIRGINIA ST, EVANSVILLE, IN 47715
- **Practice address phone:** (812) 477-7111
- **Practice address fax:** (812) 477-7117
- **Mailing address:** 7145 E VIRGINIA ST, SUITE 2000, EVANSVILLE, IN 47715-9144
- **Mailing address phone:** (812) 962-7890
- **Mailing address fax:** (812) 476-6162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 04/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1001807A | — | IN |