Organization Active NPI

Monica J Thomson, DO, PLLC

  • Obstetrics & Gynecology Physician
  • Canton, MI
National Provider Identifier
1417490855
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101013968 Issued in MI
Legal business name
MONICA J THOMSON, DO, PLLC
Practice address
2050 N Haggerty Rd
Suite 260
Canton, MI 48187-3795
Phone
(313) 520-2231
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Monica Jean Thomson, DONPI 1265400436
Title
Owner
Phone
(313) 231-1974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 5101013968 MI Primary

Addresses

Primary practice location

2050 N Haggerty Rd
Suite 260
Canton, MI 48187-3795

Mailing address

PO Box 191
Dearborn Heights, MI 48127-0191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170208003024 MI Part B Supplier - Clinic/Group Practice 0345523726 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2125429Monica Thomson DO2050 N Haggerty Road Suite 260, Canton, MI 48187Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

2050 N Haggerty Rd
Ste 260
Canton, MI 48187
Phone (734) 359-5109

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17834/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1417490855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481270191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 260",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "313-520-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA J THOMSON, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-231-1974",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101013968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.