Active NPI
Charles E Thomas, P.A.
- Physician Assistant
- Lansing, MI
National Provider Identifier
1023115342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4301050648
- Practice address
- 1200 E Michigan Ave
Suite 655
Lansing, MI 48912-1800 - Phone
- (517) 267-2460
- Fax
- (517) 267-2462
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4301050648 | MI | Primary |
Addresses
Primary practice location
1200 E Michigan Ave
Suite 655
Lansing, MI 48912-1800
Mailing address
1200 East Michigan Avenue
Suite 655
Lansing, MI 48912
Phone (517) 267-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301050648 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan State University | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- East Lansing, MI
- NPI 1639253784
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1023115342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 EAST MICHIGAN AVENUE",
"address_2": "SUITE 655",
"city": "LANSING",
"state": "MI",
"postal_code": "48912",
"telephone_number": "517-267-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE",
"address_2": "SUITE 655",
"city": "LANSING",
"state": "MI",
"postal_code": "489121800",
"telephone_number": "517-267-2460",
"fax_number": "517-267-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CHARLES",
"middle_name": "E",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "4301050648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.