Active NPI
Maria Thomas, MD
- Cytopathology Physician
- Bloomfield Hills, MI
National Provider Identifier
1053401547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 4301071922
- Practice address
- 3075 Chestnut Run Dr
Bloomfield Hills, MI 48302-1110 - Phone
- (248) 253-0774
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | E-3436 | AR | |
| Cytopathology Physician | 207ZC0500X | E-3436 | AR | |
| Cytopathology Physician | 207ZC0500X | 4301071922 | MI | Primary |
Addresses
Primary practice location
3075 Chestnut Run Dr
Bloomfield Hills, MI 48302-1110
Mailing address
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152922001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3436 | AR | MD | Cytopathology Physician |
| 4301071922 | MI | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | 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 Medicine Physician
- El Dorado, AR
- NPI 1023795051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1053401547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD",
"address_2": "STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1863",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 CHESTNUT RUN DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021110",
"telephone_number": "248-253-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AR",
"license": "E-3436",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "AR",
"license": "E-3436",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MI",
"license": "4301071922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152922001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.