# DR. THOMAS A AMBROSE II

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679524805
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 01037487A | IN | — |
| 207X00000X | Orthopaedic Surgery Physician | 036172356 | IL | — |
| 207X00000X | Orthopaedic Surgery Physician | 10090 | SD | Yes |
| 207X00000X | Orthopaedic Surgery Physician | 41335 | IA | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 01/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000247026 | ANTHEM PIN | IN |
| 05 | — | 100357760 | — | IN |