MEDICARE: DR. THOMAS E MCSOLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	01028981A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	040000759	OTHER	IN	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376600783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS E MCSOLEY M.D.

Provider Business Mailing Address
First Line	:	9002 N MERIDIAN ST
Second Line	:	SUITE 222
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5350
Country	:	US
Telephone Number	:	317-573-4370
Fax Number	:	317-819-0044

Provider Business Practice Location Address
First Line	:	11725 N ILLINOIS ST
Second Line	:	SUITE 445
City	:	CARMEL
State	:	IN
Zip	:	46032-3010
Country	:	US
Telephone Number	:	317-573-4370
Fax Number	:	317-819-0044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	12/02/2013

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Directions to “ DR. THOMAS E MCSOLEY M.D.” Practice Location

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