Thomas D Plamondon Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004838 Issued in MI

Practice address

700 Borton Ave
Essexville, MI 48732

Phone

(989) 372-1590

NPI assigned

Jan 22, 2007

Last updated

Jun 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

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 ClinicGroup PAC ID 6709258197, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17464/brand/1/csg/1/fhir/r4

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.

• IHS Medical Clinic

  • Family Medicine Physician
  • Essexville, MI
  • NPI 1447960380
  Medicare reassignment Care Compare group Authorized official
• TM Chiropractic, LLC

  • Chiropractor
  • Caro, MI
  • NPI 1891253027
  NPD
• Region VII Area Agency on Aging Inc

  • Case Management Agency
  • Bay City, MI
  • NPI 1134363864
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1154475713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BORTON AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487323110",
            "telephone_number": "989-372-1590",
            "fax_number": "866-466-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BORTON AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "48732",
            "telephone_number": "989-372-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1152 E Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231206",
            "country_code": "US",
            "telephone_number": "989-372-1590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAMONDON",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009969",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PC Script Inc (Labrenz Pharmacy)
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• Sonya Roxanne Pfaffenbach
• Trang H Phan, PA-C
• Timothy Phillips
• Taegan Alycia Pletzke, FNP-BC
• Podcare PC
• Kayle Rose Polega, MSOT, OTRL
• Misty Potts, RDN
• Hailee Maree Prahl

• Physician Assistant in Essexville, MI
• Providers in Essexville, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.