Active NPI
Thomas Charles Catrett III
- Medical Physician Assistant
- Grosse Pointe Woods, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1605 Bournemouth Rd
Grosse Pointe Woods, MI 48236-1989 - Phone
- (313) 492-8666
- NPI assigned
- Aug 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MI | Primary | |
| Physician Assistant | 363A00000X | 5601006159 | MI |
Addresses
Primary practice location
1605 Bournemouth Rd
Grosse Pointe Woods, MI 48236-1989
Mailing address
1605 Bournemouth Rd
Grosse Pointe Woods, MI 48236-1989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700H231390 | Other | MI | BCBS GROUP NUMBER |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006159 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb Oakland Hospital | Physician Assistant | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients |
Locations
7733 E Jefferson Ave
Detroit, MI 48214
Phone (313) 499-3000
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- tcatrett1120578@direct.hfhs.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Warren, MI
- NPI 1578696092
Physician Assistant
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
-
- Social Worker
- Warren, MI
- NPI 1548609761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1194006403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 BOURNEMOUTH RD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 BOURNEMOUTH RD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361989",
"telephone_number": "313-492-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATRETT",
"first_name": "THOMAS",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-31",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006159",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "700H231390",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.