Individual provider Active NPI

Mark Stanley Thompson, MD

  • Emergency Medicine Physician
  • Owosso, MI
National Provider Identifier
1447304498
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301074209 Issued in MI
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38 3694638OtherMITAX ID
4625860MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000732 MI Practitioner - Emergency Medicine 3072407956 Reassigns benefits to 7 organizations

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
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

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

LicenseStateTypeSpecialty
4301074209MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Aug 8, 2023 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Aug 15, 2014 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
McLaren Medical Group Emergency Medicine CurrentSince Aug 8, 2023 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 24, 2025 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince Aug 1, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.