Individual provider Active NPI

Daniel Ea Thomas, DPM

  • Podiatrist
  • Grand Blanc, MI
National Provider Identifier
1245338961
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001885 Issued in MI
Practice address
12745 S Saginaw St
Suite 806
Grand Blanc, MI 48439-2437
Phone
(810) 691-0971
NPI assigned
Sep 20, 2006
Last updated
Jul 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001885 MI Primary

Addresses

Primary practice location

12745 S Saginaw St
Suite 806
Grand Blanc, MI 48439-2437

Mailing address

12745 S Saginaw St
Suite 806
Grand Blanc, MI 48439-2437
Phone (810) 691-0971

Other identifiers 1

IdentifierTypeStateIssuer
4852511770OtherMIBCBS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001223 MI Practitioner - Podiatry 5496725590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Plaza Clinic Corporation Podiatrist CurrentSince Mar 12, 2022 Accepting new patients
Detroit Health Care for the Homeless PastSince Mar 12, 2022 Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Podiatrist Past Accepting new patients
D Diabetic Foot Centre and Walking Institute, LLC PastSince Apr 18, 2008 Accepting new patients
Meer Deen DPM PC Podiatrist Past Accepting new patients
AMC Enterprises Inc Past Accepting new patients
Associated Foot Ortho Health Center PC Podiatrist Past Accepting new patients
Andrew H Cohen DPM PC Podiatrist PastSince Aug 1, 2016 Accepting new patients
Onsight, Inc. Podiatrist Past Accepting new patients

Locations

2395 W Grand Blvd
Detroit, MI 48208
Phone (313) 831-2442

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1245338961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 S SAGINAW ST",
            "address_2": "SUITE 806",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392437",
            "telephone_number": "810-691-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12745 S SAGINAW ST",
            "address_2": "SUITE 806",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392437",
            "telephone_number": "810-691-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DANIEL",
        "middle_name": "EA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4852511770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.