Individual
THOMAS J WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01081254A
IN
207L00000X
Anesthesiology Physician
P6551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430C49
MEDICARE PTAN
IN
05
—
300020977
—
IN
01
—
Q00202320
MEDICARE PTAN
IN
Enumeration date
03/31/2009
Last updated
11/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us