Organization Active NPI

Andrew Thomas, M.D.,P.C.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1144365388
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301051568 Issued in MI
Legal business name
ANDREW THOMAS, M.D.,P.C.
Practice address
4727 Saint Antoine St
Suite 211
Detroit, MI 48201-1461
Phone
(313) 833-5032
Fax
(313) 833-7851
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Dr. Andrew NMN Thomas, M.D.
Title
President
Phone
(313) 680-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301051568 MI Primary

Addresses

Primary practice location

4727 Saint Antoine St
Suite 211
Detroit, MI 48201-1461

Mailing address

5576 Woodhall St
Detroit, MI 48224-2135
Phone (313) 833-5032

Other identifiers 2

IdentifierTypeStateIssuer
OP24430MedicaidMI
4742428MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1144365388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 WOODHALL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242135",
            "telephone_number": "313-833-5032",
            "fax_number": "313-833-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST",
            "address_2": "SUITE 211",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-833-5032",
            "fax_number": "313-833-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW THOMAS, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-680-0619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301051568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP24430",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4742428",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.