Theo Pediatric Health

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301103705 Issued in MI

Legal business name

THEO PEDIATRIC HEALTH

Practice address

1219 1/2 Turner St
Lansing, MI 48906-4341

Phone

(612) 840-4156

Fax

(888) 859-9497

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Christopher Loren Thompson, MD

Title

Owner

Phone

(612) 840-4156

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1740790146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540043",
            "telephone_number": "517-604-6177",
            "fax_number": "517-604-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 1/2 TURNER ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489064341",
            "telephone_number": "612-840-4156",
            "fax_number": "888-859-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEO PEDIATRIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-840-4156",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301103705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Thelen
• Audrey Thelen, COTA/L
• Christopher Daniel Thelen, PHARMACY TECH
• Janina Krystyna Thelen
• Kelsey Arver Thelen, FNP, PMHNP
• Paula K Therrien, MD
• Chastidy Raven Thibault
• Barbara Thibeault, MSW
• Ranga Prasanth Thiruvenkataramani
• This Is Diversified LLC

• Pediatrics Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.