Active NPI
Betsy Thomas, PA-C
- Physician Assistant
- Clinton Township, MI
National Provider Identifier
1366957136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008483
- Practice address
- 15945 19 Mile Rd Ste 202
Clinton Township, MI 48038-1147 - Phone
- (586) 286-7246
- NPI assigned
- Dec 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 5601008483 | MI | Primary |
Addresses
Primary practice location
15945 19 Mile Rd Ste 202
Clinton Township, MI 48038-1147
Mailing address
1103 Ridgeway Dr
Rochester, MI 48307-1772
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008483 | MI | MD | Physician Assistant |
Interoperability endpoints
- bthomas563116@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512259200000",
"number": "1366957136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 RIDGEWAY DR",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15945 19 MILE RD STE 202",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381147",
"telephone_number": "586-286-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BETSY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-03",
"last_updated": "2017-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.