Active NPI
Mark Stanley Thompson, MD
- Emergency Medicine Physician
- Owosso, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301074209
- Practice address
- 826 W King St
Owosso, MI 48867-2120 - Phone
- (517) 487-5585
- Fax
- (517) 487-1129
- NPI assigned
- Jan 23, 2007
- Last updated
- Feb 15, 2019
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301074209 | MI | Primary |
Addresses
Primary practice location
826 W King St
Owosso, MI 48867-2120
Mailing address
1031 E Saginaw St
Lansing, MI 48906-5519
Phone (517) 487-5585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38 3694638 | Other | MI | TAX ID |
| 4625860 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Michigan Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2110 S M
76 Suite 1
West Branch, MI 48661-8821
Phone (989) 516-5075
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301074209 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Current | Accepting new patients | |
| Emergency Department Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| Degara App, PLLC | Emergency Medicine | Current | Accepting new patients |
| McLaren Medical Group | Emergency Medicine | Current | Accepting new patients |
| Observation Emergency Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Michigan, P.C. | Emergency Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Standish | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001
36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
18101 Oakwood Blvd
Ste 103G
Dearborn, MI 48124
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500
2110 S M 76
Ste 1
West Branch, MI 48661
Phone (989) 516-5074
Interoperability endpoints
- mthompson1155650@direct.hfhs.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1912687328
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1225083595
-
- Emergency Medicine Physician
- Dearborn, MI
- NPI 1952740656
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1497920524
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Critical Access Hospital
- Standish, MI
- NPI 1659465094
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1447304498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 E SAGINAW ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489065519",
"telephone_number": "517-487-5585",
"fax_number": "517-487-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 W KING ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672120",
"telephone_number": "517-487-5585",
"fax_number": "517-487-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MARK",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301074209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "38 3694638",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4625860",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.