Organization Active NPI

Thomas C Hosey DPM & Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Clinton Township, MI
National Provider Identifier
1730151036
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001045 Issued in MI
Legal business name
THOMAS C HOSEY DPM & ASSOCIATES PC
Practice address
42550 Garfield Rd
Suite 103
Clinton Township, MI 48038-1644
Phone
(586) 263-4411
Fax
(586) 263-1151
NPI assigned
Feb 2, 2006
Last updated
Feb 13, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
THOMAS C HOSEY DPM & ASSOCIATES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Ms. Theresa A Brubaker
Title
Billing MGT
Phone
(586) 263-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901001045 MI Primary

Addresses

Primary practice location

42550 Garfield Rd
Suite 103
Clinton Township, MI 48038-1644

Mailing address

42550 Garfield Rd
Suite 103
Clinton Township, MI 48038-1644
Phone (586) 263-4411

Other identifiers 3

IdentifierTypeStateIssuer
5110230001OtherMIDME REGIONAL CARRIER
480E015590OtherMIBLUE CROSS BLUE SHIELD
DB8851OtherMIRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040618000975 MI Part B Supplier - Clinic/Group Practice 5597740274 Receives reassigned benefits from 4 practitioners
Practice locations: Clinton Township, MI; Mount Clemens, MI; Sterling Heights, MI
O20100930046457 MI DME Supplier - Physician - Podiatry 5597740274 Practice locations: Clinton Township, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0363659Thomas C Hosey DPM PC42550 Garfield Suite 103, Clinton Township, MI 48038Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Thomas C Hosey DPM Associa2 organizations share this tax ID, including this one
Part of
Thomas C Hosey DPM Associa

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20225 E 9 Mile Rd
St Clr Shores, MI 48080
Phone (586) 772-2025

44344 Dequindre Rd
Sterling Heights, MI 48314
Phone (248) 964-1460

44344 Dequindre Rd
Ste 420
Sterling Heights, MI 48314

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1730151036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD RD",
            "address_2": "SUITE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "586-263-4411",
            "fax_number": "586-263-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD RD",
            "address_2": "SUITE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "586-263-4411",
            "fax_number": "586-263-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C HOSEY DPM & ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS C HOSEY DPM & ASSOCIATES PC",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MGT",
        "authorized_official_telephone_number": "586-263-4411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME REGIONAL CARRIER",
            "identifier": "5110230001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480E015590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DB8851",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.