Active NPI
Tom McPhail
- Other Technician
- South Lyon, MI
National Provider Identifier
1316484850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 61023 Heritage Blvd
South Lyon, MI 48178-1029 - Phone
- (734) 680-0469
- NPI assigned
- Jan 23, 2017
- Last updated
- Jan 23, 2017
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | Primary |
Addresses
Primary practice location
61023 Heritage Blvd
South Lyon, MI 48178-1029
Mailing address
61023 Heritage Blvd
South Lyon, MI 48178-1029
Phone (734) 680-0469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247200000 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1316484850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61023 HERITAGE BLVD",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781029",
"telephone_number": "734-680-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61023 HERITAGE BLVD",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781029",
"telephone_number": "734-680-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHAIL",
"first_name": "TOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "247200000",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Lyon, MI
- Michael Samir Matar, M.D
- Salima Sami Matariyeh, PHARMD
- Jacquelyn Margaret Mayowski, MS, LLPC
- Rebekah Marie McCormick, OTR/L
- Jill McGuire, R.D.
- Jennifer McPherson, RD
- Meghan N Moore DDS PLLC (South Lyon Dental Care Center)
- Elena Marie Mehl, M.D.
- Gabrielle M Mercieca, DDS
- Morgan J Merrill-Winowiecki, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.