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THOMAS R. VIDIC M.D., NPI 1265437404

Psychiatry & Neurology in ELKHART, IN

Last Updated on : Dec 19,2012

THOMAS R. VIDIC M.D., NPI 1265437404

About THOMAS R. VIDIC (NPI 1265437404)


THOMAS R. VIDIC is a Psychiatry & Neurology provider in ELKHART, United States. His medical specialization is Psychiatry & Neurology with a focus in Neurology.

1265437404 is NPI number of THOMAS R. VIDIC.

THOMAS R. VIDIC's primary taxonomy code based on NPI Lookup is 2084N0400X with license number 01033614A. This taxonomy code refers to Psychiatry & Neurology.

THOMAS R. VIDIC has more than 18 years of experience.

THOMAS R. VIDIC current practice location address is PO BOX 2968, ELKHART, IN. THOMAS R. VIDIC can be reached out via phone at 574-296-3282 and via fax at 574-296-3324 .

You can also correspond with THOMAS R. VIDIC through mail at mailing address 303 S NAPPANEE ST, ELKHART, IN, United States. Mailing address contact number is 574-296-3282.

The enumeration date of THOMAS R. VIDIC is 15-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 12 years ago.

1265437404 NPI Information

Basic NPI information of THOMAS R. VIDIC (NPI 1265437404) is provided below.

Name THOMAS R. VIDIC
National Provider Id (NPI) 1265437404
Entity Type Individual
Gender M
Credential M.D.
Practice Address PO BOX 2968,
ELKHART, IN, United States
Practice Telephone 574-296-3282
Practice Fax Number 574-296-3324
Mailing Address 303 S NAPPANEE ST ,
ELKHART, IN, United States
Mailing Telephone 574-296-3282
Mailing Fax Number 574-296-3324
Enumeration Date 15-Jun-2005
Last Updated Date 19-Dec-2012

THOMAS R. VIDIC (NPI 1265437404) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 2084N0400X Psychiatry & Neurology, Neurology 01033614A IN

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
100112810A MEDICAID (05) IN

THOMAS R. VIDIC (NPI 1265437404) Office Location

Office location of THOMAS R. VIDIC is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1245558808 111 HOME HEALTH CARE AGENCY Home Health 336 W GARFIELD AVE,
ELKHART, IN, United States
06-May-2010
1376816702 111HOME HEALTH CARE AGENCY In Home Supportive Care 336 W GARFIELD AVE,
ELKHART, IN, United States
15-Feb-2012
1477254399 42 NORTH DENTAL CARE OF INDIANA, LLC Clinic/Center, Dental 200 5TH AVE FL 3,
WALTHAM, MA, United States
16-Mar-2023
1831268150 ABBOTT EYE CLINIC INC PC Optometrist 2222 W LEXINGTON AVE,
ELKHART, IN, United States
08-Nov-2006
1770664138 KENNETH W ABBOTT Ophthalmology PO BOX 2968,
ELKHART, IN, United States
18-Oct-2006
1013345412 TAQI QAYS ABDU-AS-SALAAM Nurse Anesthetist, Certified Registered 542 W ENGLEWOOD AVE,
CHICAGO, IL, United States
22-Oct-2013
1861179343 GERALD ABELL Behavior Technician 3500 DEPAUW BLVD STE 3070,
INDIANAPOLIS, IN, United States
28-Jun-2023
1164917167 MATTHEW LEE ABRELL Podiatrist 303 S NAPPANEE ST,
ELKHART, IN, United States
22-Jun-2018
1447922182 REBECCA LYNN ACEVEDO Case Manager/Care Coordinator 810 W BRISTOL ST STE I,
ELKHART, IN, United States
01-Oct-2021
1396412581 MARCOS ACOSTA Counselor PO BOX 809,
GOSHEN, IN, United States
25-Aug-2021
1225510522 KIMBERLEE LYNN ACTON Nurse Practitioner, Family 25651 COUNTY ROAD 20,
ELKHART, IN, United States
04-Sep-2018
1023096138 ADAMS COUNTY MEMORIAL HOSPITAL Nursing Facility/Intermediate Care Facility 1100 MERCER AVE, PO BOX 151
DECATUR, IN, United States
09-Jan-2006
1578057758 NICHOLAS J ADAMS Student in an Organized Health Care Education/Training Program 600 EAST BLVD,
ELKHART, IN, United States
20-Jun-2018
1164646592 ADEC - FOSTER AVENUE Residential Treatment Facility, Intellectual and/or Developmental Disabilities 19670 ST RD 120,
BRISTOL, IN, United States
13-Apr-2007
1235353608 ADEC - STEVENS AVE Residential Treatment Facility, Intellectual and/or Developmental Disabilities 19670 SR 120,
BRISTOL, IN, United States
13-Apr-2007
1962192955 ADJUSTING REALITIES LLC Contractor 855 E MISHAWAKA RD LOT 37,
ELKHART, IN, United States
11-May-2023
1891192175 ADVANCED REHABILITATION OF ELKHART Chiropractor 615 W BRISTOL ST,
ELKHART, IN, United States
02-Dec-2014
1194409052 ADVOCACY LINKS RESOURCE & ADVOCACY CENTER Adult Companion 56159 RIVERDALE DR,
ELKHART, IN, United States
12-Jun-2023
1851033153 ADVOCACY LINKS, LLC Case Manager/Care Coordinator 56159 RIVERDALE DR,
ELKHART, IN, United States
08-Apr-2022
1578566675 PAVAN AHUJA Internal Medicine PO BOX 2968,
ELKHART, IN, United States
23-May-2005

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1265437404?

1265437404 is the NPI number of THOMAS R. VIDIC.

What is the specialty for THOMAS R. VIDIC?

The Specialty of THOMAS R. VIDIC is Psychiatry & Neurology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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