Individual provider Active NPI

Thomas Neidlinger, M.D.

  • Family Medicine Physician
  • Marshall, MI
National Provider Identifier
1124094057
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TN036652 Issued in 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
Last updated
Oct 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
TN036652MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Neidlinger Family Medicine CurrentSince 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/

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.

FacilityTypeRoleSince
Oaklawn HospitalMarshall, MI, CCN 230217 Hospital Corporate Director Dec 1, 2010
Oaklawn HospiceMarshall, MI, CCN 231612 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.

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.

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

Verify at the official NPI Registry.