T.K Thomas MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301040256 Issued in MI

Legal business name

T.K THOMAS MD PC

Practice address

22480 Kelly Rd
Suite 2
Eastpointe, MI 48021-2623

Phone

(586) 776-3340

Fax

(586) 778-6460

NPI assigned

Aug 18, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Thomas K Thomas, MDNPI 1376732073

Title

Physician

Phone

(586) 776-3340

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Thomas K Thomas MD PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas K Thomas, M.D

  • Family Medicine Physician
  • Eastpointe, MI
  • NPI 1376732073
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1083606677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 MOORLAND DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361129",
            "telephone_number": "586-776-3340",
            "fax_number": "586-778-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22480 KELLY RD",
            "address_2": "SUITE 2",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212623",
            "telephone_number": "586-776-3340",
            "fax_number": "586-778-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.K THOMAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-776-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301040256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MICHIGAN",
            "identifier": "71020001500026",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1361698",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas  K  Thomas  MD  PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesley Reid Straith, MA, LLP
• Tania Stubbs, BA, RSST
• Suburban Solution Services
• SVS Vision Inc
• Patrick Lawrence Sweeney, D.D.S.
• Morgan Whitney Tabb-Whitlow
• Danielle Nicole Talley
• Rachel Tapling
• Aleksandra Tasevski, NP
• Charles D Taylor, DDS

• Family Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.