TG DO PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

5101008581 Issued in MI

Legal business name

TG DO PC

Practice address

34025 Harper Ave
Clinton Township, MI 48035-3737

Phone

(586) 791-9556

Fax

(586) 776-4324

NPI assigned

May 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Giancarlo, DONPI 1780627018

Title

President, TG DO PC

Phone

(586) 445-9900

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Thomas Giancarlo, DO

  • Neurology Physician
  • Clinton Township, MI
  • NPI 1780627018
  Authorized official Same address or phone

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861448334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34025 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353737",
            "telephone_number": "586-791-9556",
            "fax_number": "586-776-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34025 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353737",
            "telephone_number": "586-791-9556",
            "fax_number": "586-776-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TG DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIANCARLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT, TG DO PC",
        "authorized_official_telephone_number": "586-445-9900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101008581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Telfer, NP
• Dorian Tennille
• Kaylah Terry
• Maggie Jewell Terry, MA, BCBA
• Ashley Teschler, LLPC
• Kristin Lynn Thacker, B.A.
• Aristidis George Thanasas, DDS
• Mildred Thaxton, R.N.
• Sonja Lee Thayer, LPC
• The Breckenridge Company

• Neurology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.