Healthcare Provider Details

I. General information

NPI: 1780825182
Provider Name (Legal Business Name): DANIEL THOMPSON HEARD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N PLAZA EAST BLVD STE 320
EVANSVILLE IN
47715-2871
US

IV. Provider business mailing address

101 N PLAZA EAST BLVD STE 320
EVANSVILLE IN
47715-2871
US

V. Phone/Fax

Practice location:
  • Phone: 812-455-5541
  • Fax: 812-356-6468
Mailing address:
  • Phone: 812-356-6468
  • Fax: 812-455-5541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number02003589A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number02003589A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number02003589A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number02003589A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number02003589A
License Number StateIN
# 6
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number02003589A
License Number StateIN
# 7
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number02003589A
License Number StateIN
# 8
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number02003589A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: