Thea N Clouse-Gawronski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004262 Issued in MI

Practice address

1150 E Sherman Blvd Ste 2400
Muskegon, MI 49444-1886

Phone

(231) 672-4243

Fax

(231) 727-4217

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

89.64 of 100Reported as group

Quality

85.47

Improvement activities

40

Cost

69.38

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mercy Health Partners - Physician Specialist

  dba Trinity Health Medical Group

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1922248772
  Medicare reassignment
• Mercy Specialty Services

  dba Trinity Health Medical Group

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1629010384
  Medicare reassignment
• Apc Pain Management, PLLC

  • Pain Medicine Physician
  • Grand Rapids, MI
  • NPI 1417226036
  NPD (past)
• Great Lakes Neurosurgical Associates, PC

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MI
  • NPI 1306366810
  NPD (past)
• West Shore Cardiology, PLC

  dba West Shore Cardiology

  • Cardiovascular Disease Physician
  • Muskegon, MI
  • NPI 1073528642
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1063537819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD STE 2400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441886",
            "telephone_number": "231-672-4243",
            "fax_number": "231-727-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD STE 2400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441886",
            "telephone_number": "231-672-4243",
            "fax_number": "231-727-4217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Leahy St",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494425500",
            "country_code": "US",
            "telephone_number": "231-727-4243",
            "fax_number": "231-727-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUSE-GAWRONSKI",
        "first_name": "THEA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "5411258",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Keith Clement, DO
• Joseph James Clifford, RN
• Timothy Clifton
• Michelle Clockman, M.S. CCC-SLP
• Linda Closz
• Coach Transportation LLC
• Stephanie Elizabeth Coallier, MD
• Coastal Chiropractic of Muskegon PC
• Lisa Cobb, LMSW
• Peter R Cockram, CRNA

• Physician Assistant in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.