Thomas Neidlinger, M.D. – Family Medicine Physician

Key facts

NPI: 1124094057
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: TN036652 (MI)
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
Sex: Male
Sole proprietor: Yes

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.

Thomas Neidlinger Family Medicine Physician · Marshall, MI · NPI 1659837300

NPD FAMILY MEDICINE

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Ella E M Brown Charitable Circle Community Based Hospice Care Agency · Marshall, MI · NPI 1407015019

CMS ownership CORPORATE DIRECTOR
Ella E. M. Brown Charitable Circle General Acute Care Hospital · Marshall, MI · NPI 1861475360

CMS ownership CORPORATE DIRECTOR

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

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 Marshall, MI · CCN 230217	Hospital	Corporate Director	Dec 1, 2010
Oaklawn Hospice Marshall, MI · CCN 231612	Hospice	Corporate Director	Jan 1, 1999

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20100310000396	MI	Practitioner - Family Practice	1658373774	Practice locations: Marshall, MI

National Provider Directory

Medicare enrollment (NPD): Yes
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 since Jan 1, 1990	Accepting new patients

Locations

215 E Mansion St
Ste 2A
Marshall, MI 49068
Phone (269) 558-0710

Interoperability endpoints

FHIR API: https://fhir-myrecord.cerner.com/r4/8ce5d363-ea3e-4f6f-a99f-e6d83ae8306f/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	TN036652	MI	Yes

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

Other identifiers

Identifier	Type	State	Issuer
101633260	Medicaid	MI
16334	Other	MI	HEALTH PLAN OF MICHIGAN
0131148	Other	MI	BCBSM

Other providers in Marshall, MI

All providers in Marshall, MI · Family Medicine Physician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.