Individual provider Active NPI

Jeffrey Thewes, M.D.

  • Emergency Medicine Physician
  • Clarkston, MI
National Provider Identifier
1649329418
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
43801066600 Issued in MI
Practice address
7931 Bridge Vly
Clarkston, MI 48348-4350
Phone
(248) 620-3518
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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 43801066600 MI Primary

Addresses

Primary practice location

7931 Bridge Vly
Clarkston, MI 48348-4350

Mailing address

PO Box 100
Royal Oak, MI 48068-0100

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
I20041209000193 MI Practitioner - Emergency Medicine 2466418652 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 1995
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
Medpro Urgent Care PLLCGroup PAC ID 9032515333, 9 clinicians

Practice addresses (Care Compare)

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

31005 John R Rd
Suite a
Madison Heights, MI 48071-1907
Phone (248) 850-8306

Hospital & facility affiliations

  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43801066600MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Hospital Group Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
McLaren Medical Group CurrentSince Aug 9, 2023 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Nov 17, 2022 Accepting new patients
Independent Emergency Physicians, P.C. CurrentSince Aug 22, 2012 Accepting new patients
Medpro Urgent Care PLLC CurrentSince Dec 12, 2023 Accepting new patients
McLaren Medical Group Emergency Medicine CurrentSince Aug 9, 2023 Accepting new patients
Medpro Primary Care PLLC PastSince Dec 31, 2023 Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

31005 John R Rd
Ste A
Madison Heights, MI 48071
Phone (248) 850-8306

31005 John R Rd
Ste B
Madison Heights, MI 48071
Phone (248) 850-8266

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21116/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.thewes.1@21116.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1649329418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480680100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 BRIDGE VLY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484350",
            "telephone_number": "248-620-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEWES",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "43801066600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.