Individual provider Active NPI

Brian D Thwaites, PA-C

  • Physician Assistant
  • Sheridan, MI
National Provider Identifier
1285773671
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003377 Issued in MI
Practice address
303 Congress St
Sheridan, MI 48884-9215
Phone
(989) 291-5077
Fax
(989) 291-4348
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003377 MI Primary

Addresses

Primary practice location

303 Congress St
Sheridan, MI 48884-9215

Mailing address

301 N Main St
P.O Box 155
Sheridan, MI 48884-9235
Phone (989) 291-6264

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330000013 MI Practitioner - Physician Assistant 3577455807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Community HospitalGroup PAC ID 1658275342, 18 clinicians

Practice addresses (Care Compare)

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

PO Box
Suite 279
Sheridan, MI 48884

Hospital & facility affiliations

  • Sheridan Community Hospital Hospital, Sheridan, MI, CCN 231312
  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035
  • University of Michigan Health-Sparrow Carson Hospital, Carson City, MI, CCN 230208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003377MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Community Hospital CurrentSince Nov 14, 2017 Accepting new patients
Sheridan Community Hospital Past Accepting new patients

Locations

438 Main St
Blanchard, MI 49310
Phone (517) 561-5230

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

303 Congress St
Sheridan, MI 48884
Phone (989) 291-3227

620 W Main St
Stanton, MI 48888
Phone (517) 831-7200

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1285773671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "P.O BOX 155",
            "city": "SHERIDAN",
            "state": "MI",
            "postal_code": "488849235",
            "telephone_number": "989-291-6264",
            "fax_number": "989-291-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CONGRESS ST",
            "city": "SHERIDAN",
            "state": "MI",
            "postal_code": "488849215",
            "telephone_number": "989-291-5077",
            "fax_number": "989-291-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THWAITES",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, MI

Sources for this page

Verify at the official NPI Registry.