Thomas G. Wayne M.D., P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301047530 Issued in MI

Legal business name

THOMAS G. WAYNE M.D., P.L.L.C.

Practice address

4150 S River Rd
Suite1
East China, MI 48054-2915

Phone

(810) 326-0858

Fax

(810) 326-0933

NPI assigned

Nov 11, 2010

Last updated

Nov 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas G Wayne, M.D.NPI 1861415754

Title

Owner

Phone

(810) 326-0858

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Thomas Gordon Wayne, MD

  • Family Medicine Physician
  • East China, MI
  • NPI 1861415754
  Authorized official Same address or phone

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1508167206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 S. RIVER RD.",
            "address_2": "SUITE1",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542915",
            "telephone_number": "810-326-0858",
            "fax_number": "810-326-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 S RIVER RD",
            "address_2": "SUITE1",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542915",
            "telephone_number": "810-326-0858",
            "fax_number": "810-326-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. WAYNE M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-326-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301047530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in East China, MI
• Providers in East China, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.