Organization Active NPI

Thorrez Medical Practice PLC

  • Pediatrics Physician
  • Ypsilanti, MI
National Provider Identifier
1346424447
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301035414 Issued in MI
Legal business name
THORREZ MEDICAL PRACTICE PLC
Practice address
2900 Packard Rd
Suite 1
Ypsilanti, MI 48197-2060
Phone
(734) 572-8686
Fax
(734) 572-8866
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Kathleen M McCarren
Title
Office Manager
Phone
(734) 572-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301035414 MI Primary

Addresses

Primary practice location

2900 Packard Rd
Suite 1
Ypsilanti, MI 48197-2060

Mailing address

2900 Packard Rd Ste 1
Ypsilanti, MI 48197-2061
Phone (734) 572-8686

Other identifiers 2

IdentifierTypeStateIssuer
0H11972OtherMIBCBSM
350H115430OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1346424447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD STE 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972061",
            "telephone_number": "734-572-8686",
            "fax_number": "734-572-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD",
            "address_2": "SUITE 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972060",
            "telephone_number": "734-572-8686",
            "fax_number": "734-572-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORREZ MEDICAL PRACTICE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "MCCARREN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-572-8686"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301035414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H11972",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "350H115430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.