Active NPI
Thomas Dolnicek, MD
- Obstetrics & Gynecology Physician
- Farmington Hills, MI
National Provider Identifier
1366446247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301060464
- Practice address
- 30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334-3282 - Phone
- (248) 737-4600
- Fax
- (258) 538-5020
- NPI assigned
- Jun 9, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301060464 | MI | Primary |
Addresses
Primary practice location
30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334-3282
Mailing address
15990 W 9 Mile Rd
Southfield, MI 48075-4826
Phone (248) 849-4226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287888410 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1366446247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15990 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754826",
"telephone_number": "248-849-4226",
"fax_number": "248-849-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30055 NORTHWESTERN HWY",
"address_2": "STE 235",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343282",
"telephone_number": "248-737-4600",
"fax_number": "258-538-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLNICEK",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301060464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287888410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.