Healthcare Provider Details

I. General information

NPI: 1255377115
Provider Name (Legal Business Name): THOMAS LAWRENCE SALSBURY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 SE GREENVILLE AVE
WINCHESTER IN
47394-9436
US

IV. Provider business mailing address

6846 W GLORY MAPLE DR
MCCORDSVILLE IN
46055-4409
US

V. Phone/Fax

Practice location:
  • Phone: 765-584-0339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01073166A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2004014279
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: