Active NPI
Thomas Neidlinger, M.D.
- Family Medicine Physician
- Marshall, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TN036652
- Practice address
- 215 E Mansion St
Suite 2a
Marshall, MI 49068-1559 - Phone
- (269) 781-1122
- Fax
- (269) 781-5933
- NPI assigned
- Feb 28, 2006
- Last updated
- Oct 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TN036652 | MI | Primary |
Addresses
Primary practice location
215 E Mansion St
Suite 2a
Marshall, MI 49068-1559
Mailing address
215 E Mansion St
Suite 2a
Marshall, MI 49068-1559
Phone (269) 781-1122
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100310000396 | MI | Practitioner - Family Practice | 1658373774 | Practice locations: Marshall, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN036652 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Neidlinger | Family Medicine | Current | Accepting new patients |
Locations
215 E Mansion St
Ste 2A
Marshall, MI 49068
Phone (269) 558-0710
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8ce5d363-ea3e-4f6f-a99f-e6d83ae8306f/
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Oaklawn Hospital | Hospital | Corporate Director | Dec 1, 2010 |
| Oaklawn Hospice | Hospice | Corporate Director | Jan 1, 1999 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Marshall, MI
- NPI 1407015019
Corporate Director
-
dba Oaklawn Hospital
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
Corporate Director
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Marshall, MI
- NPI 1659837300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1124094057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E MANSION ST",
"address_2": "SUITE 2A",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-781-1122",
"fax_number": "269-781-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MANSION ST",
"address_2": "SUITE 2A",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-781-1122",
"fax_number": "269-781-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIDLINGER",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "TN036652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.