Individual
THOMAS JOHN YEAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3115
(812) 235-9580
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3115
(812) 235-9580
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01057264A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000269727
ANTHEM
—
05
—
200425570
—
IN
05
—
200425570P
—
IN
05
—
200425570X
—
IN
01
—
P00026095
RAILROAD MCARE PALAMETTO
—
01
—
P00834965
RAILROAD MEDICARE
IN
Enumeration date
08/30/2006
Last updated
03/14/2013
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