Organization Active NPI

Thomas Family Practice PC

  • Family Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1164835328
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THOMAS FAMILY PRACTICE PC
Practice address
1250 Columbia Ave E
Suite a
Battle Creek, MI 49014-5159
Phone
(269) 883-6049
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Allison Sue Thomas, M.DNPI 1386687028
Title
President
Phone
(269) 883-6049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1250 Columbia Ave E
Suite a
Battle Creek, MI 49014-5159

Mailing address

1250 Columbia Ave E
Suite a
Battle Creek, MI 49014-5159

Other identifiers 1

IdentifierTypeStateIssuer
0N25600002MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140609001910 MI Part B Supplier - Clinic/Group Practice 9739303934 Receives reassigned benefits from 2 practitioners
Practice locations: Battle Creek, MI

National Provider Directory

National Provider Directory

Locations

1250 Columbia Ave E
Ste A
Battle Creek, MI 49014
Phone (269) 883-6049

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHACD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1164835328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 COLUMBIA AVE E",
            "address_2": "SUITE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 COLUMBIA AVE E",
            "address_2": "SUITE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145159",
            "telephone_number": "269-883-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-883-6049",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0N25600002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.