Organization Active NPI

Thomas Watkins, DO

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1386218055
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THOMAS WATKINS, DO
Practice address
855 Oakridge Rd
Muskegon, MI 49441-4023
Phone
(231) 755-6038
Fax
(231) 747-9645
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Joy Earnest
Title
Manager
Phone
(231) 755-6038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

855 Oakridge Rd
Muskegon, MI 49441-4023

Mailing address

855 Oakridge Rd
Muskegon, MI 49441-4023
Phone (231) 755-6038

Other identifiers 1

IdentifierTypeStateIssuer
1843599-11MedicaidMI

National Provider Directory

National Provider Directory

Locations

855 Oakridge Rd
Muskegon, MI 49441
Phone (231) 755-6038

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1386218055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 OAKRIDGE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414023",
            "telephone_number": "231-755-6038",
            "fax_number": "231-747-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 OAKRIDGE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414023",
            "telephone_number": "231-755-6038",
            "fax_number": "231-747-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS WATKINS, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "EARNEST",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "231-755-6038"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843599-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.