Organization Active NPI

Thomas J. Gerou, D.C., P.C.

  • Chiropractor
  • Canton, MI
National Provider Identifier
1699842906
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005337 Issued in MI
Legal business name
THOMAS J. GEROU, D.C., P.C.
Practice address
7277 N Lilley Rd
Canton, MI 48187-2434
Phone
(734) 981-6969
Fax
(734) 416-3976
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Thomas J Gerou, DCNPI 1750303566
Title
President/Owner
Phone
(734) 981-6969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005337 MI Primary

Addresses

Primary practice location

7277 N Lilley Rd
Canton, MI 48187-2434

Mailing address

7277 N Lilley Rd
Canton, MI 48187-2434
Phone (734) 981-6969

Other identifiers 3

IdentifierTypeStateIssuer
P79012OtherMIBCN
OH25202951OtherMIBCBSM
1839415MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000113 MI Part B Supplier - Clinic/Group Practice 9638258346 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Locations

7277 N Lilley Rd
Canton, MI 48187
Phone (734) 981-6969

41637 FRD Rd
Ste C
Canton, MI 48187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1699842906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872434",
            "telephone_number": "734-981-6969",
            "fax_number": "734-416-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872434",
            "telephone_number": "734-981-6969",
            "fax_number": "734-416-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. GEROU, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "GEROU",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "734-981-6969",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P79012",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OH25202951",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1839415",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.