Active NPI
Brian D Thwaites, PA-C
- Physician Assistant
- Sheridan, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003377
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Spectrum Health United Hospital
- University of Michigan Health-Sparrow Carson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003377 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Community Hospital | Current | 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.
-
- Emergency Medicine Physician
- Sheridan, MI
- NPI 1528090594
-
- Family Medicine Physician
- Sheridan, MI
- NPI 1740345958
-
- Rural Health Clinic/Center
- Sheridan, MI
- NPI 1740372754
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sheridan, MI
- NPI 1689618324
-
- General Acute Care Hospital
- Carson City, MI
- NPI 1336103043
-
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.