Provider Demographics
NPI:1811939259
Name:THOMAS M. GADIENT, M.D., PSC
Entity type:Organization
Organization Name:THOMAS M. GADIENT, M.D., PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:O'DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:812-471-0433
Mailing Address - Street 1:801 SAINT MARYS DR
Mailing Address - Street 2:SUITE 310 WEST
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-0511
Mailing Address - Country:US
Mailing Address - Phone:812-471-0433
Mailing Address - Fax:812-471-1625
Practice Address - Street 1:801 SAINT MARYS DR
Practice Address - Street 2:SUITE 310 WEST
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0511
Practice Address - Country:US
Practice Address - Phone:812-471-0433
Practice Address - Fax:812-471-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65932774Medicaid
IN138720Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER