Thomas N Tavarone, MD, FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301082748 Issued in MI

Practice address

421 S Baldwin St
Greenville, MI 48838-2102

Phone

(616) 225-8667

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Spectrum Health United

  dba Corewell Health Greenville Hospital

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1245214741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790",
            "fax_number": "616-486-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S BALDWIN ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382102",
            "telephone_number": "616-225-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARONE",
        "first_name": "THOMAS",
        "middle_name": "N",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301082748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105452413",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne L Switzer, RPH
• Emma A Syrek, DO
• Melissa Kae Syrjala, PTA
• Gabriel Tallent, MD
• Xandria Tatum
• Teter Orthotics & Prosthetics, Inc (Hanger Clinic)
• Kelsee Danae Tharp, CNM, MSN, C-EFM
• James Alfred Thiel, D.O.
• Tissue Family Dentistry, PLLC
• Matthew Tissue, DDS

• Surgery Physician in Greenville, MI
• Providers in Greenville, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.