Individual provider Active NPI

Thomas McConnon, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Mt Pleasant, MI
National Provider Identifier
1811919251
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
4301044670 Issued in MI
Practice address
2790 Health Pkwy
Mount Pleasant, MI 48858-6934
Phone
(989) 953-5320
Fax
(989) 953-5329
NPI assigned
Jul 24, 2006
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301044670 MI
Family Medicine Physician 207Q00000X 4301044670 MI
Geriatric Medicine (Family Medicine) Physician 207QG0300X 4301044670 MI Primary

Addresses

Primary practice location

2790 Health Pkwy
Mount Pleasant, MI 48858-6934

Mailing address

2790 Health Pkwy
Mount Pleasant, MI 48858-6934
Phone (989) 953-5320

Other practice location 1

945 9th St
Lake Linden, MI 49945-1100
Phone (906) 483-1030

Other identifiers 1

IdentifierTypeStateIssuer
4795520MedicaidMI

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
I20051101000068 MI Practitioner - Family Practice 7214821115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians
Isabella Citizens for Health IncGroup PAC ID 9335386051, 12 clinicians

Practice addresses (Care Compare)

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

2790 Health Pkwy
Mount Pleasant, MI 48858-6934
Phone (989) 953-5320

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301044670MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella Citizens for Health, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Upper Great Lakes Family Health Center CurrentSince Jan 1, 2014 Accepting new patients
Portage Physician Practices Inc CurrentSince Dec 1, 2013 Accepting new patients
Portage Physician Practices Inc Emergency Medicine CurrentSince Dec 1, 2013 Accepting new patients
Isabella Citizens for Health Inc CurrentSince Oct 1, 2025 Accepting new patients
Upper Great Lakes Family Health Center Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Isabella Citizens for Health Inc Current Accepting new patients
Upper Great Lakes Family Health Center Past Accepting new patients

Locations

135 E State Highway M35
Gwinn, MI 49841
Phone (906) 346-9275

301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

894 Campus Dr
Ste B
Hancock, MI 49930
Phone (906) 483-1128

600 Macinnes Dr
Houghton, MI 49931
Phone (906) 483-1818

945 9th St
Lake Linden, MI 49945
Phone (906) 483-1000

2790 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 779-5270

Interoperability endpoints

  • Direct secure messaging: thomas.mcconnon.p1@direct.isabellahealth.nextgenshare.com
  • Direct secure messaging: thomas.mcconnon@uglfhc.eclinicaldirectplus.com

Organizations & group practices 8

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

Hospital & facility affiliations 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1811919251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-953-5320",
            "fax_number": "989-983-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-953-5320",
            "fax_number": "989-953-5329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 9th St",
            "address_purpose": "LOCATION",
            "city": "Lake Linden",
            "state": "MI",
            "postal_code": "499451100",
            "country_code": "US",
            "telephone_number": "906-483-1030",
            "fax_number": "906-296-0521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNON",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301044670",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301044670",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301044670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4795520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.