Amanda A Thomas

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005259 Issued in MI

Practice address

48681 Hayes Rd
Shelby TWP, MI 48315-4403

Phone

(586) 799-1212

Fax

(586) 799-1210

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.53 of 100Reported as group

Quality

100

Improvement activities

40

Cost

81.77

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Jeffrey M. Bruner, D.O., P.C.

  • Allergy & Immunology Physician
  • Clinton TWP, MI
  • NPI 1619901956
  Medicare reassignment
• Kenneth L Gwinn MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Shelby Township, MI
  • NPI 1629163217
  Medicare reassignment

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1669634390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15959 HALL RD",
            "address_2": "SUITE LL 104",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "586-799-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48681 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154403",
            "telephone_number": "586-799-1212",
            "fax_number": "586-799-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMANDA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "383120356",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AT005259",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasilyn Teasley
• Daniela Palici Teletin, PHARMD
• Tender Foot & Ankle Care PLLC
• Thera-Med Plus LLC
• Thomas M Fredal DDS, PC
• Leticia Thomason
• Kristine Tillman
• Timothy Roney and Associates Corp
• Deborah Elizabeth Toering, LPC
• Katherine Toering

• Physician Assistant in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.

Verify at the official NPI Registry.