Provider Demographics
NPI:1841281870
Name:HASTINGS, THOMAS F (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:HASTINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 23340
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63156-3340
Mailing Address - Country:US
Mailing Address - Phone:314-434-4278
Mailing Address - Fax:314-851-4466
Practice Address - Street 1:1585 WOODLAKE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5740
Practice Address - Country:US
Practice Address - Phone:314-434-4278
Practice Address - Fax:314-851-4466
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR2K72207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO19571OtherBCBS
MO000000010018OtherESSENCE
MO140111OtherHEALTHLINK
MO0400310OtherUHC
MOE41634OtherMERCY
MO127479OtherGHP
MO4277482OtherAETNA
MOE41634OtherMERCY
MO140111OtherHEALTHLINK
MO013012451Medicare PIN