Thomas D Plamondon Jr., PA-C
Individual provider Active NPI Physician Assistant · Essexville, MI
NPI 1154475713 · NPPES record last updated Jun 2, 2024
Key facts
- NPI
- 1154475713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601004838 (MI)
- Practice address
- 700 Borton Ave
Essexville, MI 48732 - Phone
- (989) 372-1590
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- IHS Medical Clinic
Practice addresses (Care Compare)
1152 E Caro Rd
Caro, MI 48723-1206
Phone (898) 372-1590
700 Borton Ave
Essexville, MI 48732-3110
Phone (989) 372-1590
G3267 Beecher Rd
Flint, MI 48532-3615
Phone (989) 372-1590
Hospital & facility affiliations
- McLaren Bay Region
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090528000283 | MI | Practitioner - Physician Assistant | 0244389955 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TM Chiropractic, LLC | Current |
Accepting new patients | |
| Region VII Area Agency on Aging Inc | Past | Accepting new patients |
Locations
1152 E Caro Rd
Caro, MI 48723
Phone (898) 372-1590
Interoperability endpoints
- https://api.platform.athenahealth.com/17464/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501009969 | MI | |
| Physician Assistant | 363A00000X | 5601004838 | MI | Yes |
Addresses
Primary practice location
700 Borton Ave
Essexville, MI 48732
Mailing address
700 Borton Ave
Essexville, MI 48732-3110
Phone (989) 372-1590
Other practice location 1
1152 E Caro Rd
Caro, MI 48723-1206
Phone (989) 372-1590
Other providers in Essexville, MI
- PC Script Inc
- Kari Peckham
- Sonya Roxanne Pfaffenbach
- Trang H Phan
- Timothy Phillips
- Taegan Alycia Pletzke
- Podcare PC
- Kayle Rose Polega
- Misty Potts
- Hailee Maree Prahl
All providers in Essexville, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2024. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.