Individual provider Active NPI

Thomas L Alderson, D.O.

  • Reproductive Endocrinology Physician
  • Clinton Township, MI
National Provider Identifier
1962450437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
5101012950 Issued in MI
Practice address
36500 S Gratiot Ave
Ste. 202
Clinton Township, MI 48035-1772
Phone
(586) 493-3740
Fax
(586) 493-3720
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 5101012950 MI Primary

Addresses

Primary practice location

36500 S Gratiot Ave
Ste. 202
Clinton Township, MI 48035-1772

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000

Other identifiers 3

IdentifierTypeStateIssuer
4178105MedicaidMI
4984868MedicaidMI
4178339MedicaidMI

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
I20070426000013 MI Practitioner - Obstetrics/Gynecology 0547366254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Practice addresses (Care Compare)

36500 S Gratiot Ave
Clinton Township, MI 48035-1772

37399 Garfield Rd
Clinton Township, MI 48036-3672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012950MIMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb Obstetrics & Gynecology CurrentSince Apr 1, 2012 Accepting new patients
McLaren Medical Group CurrentSince Oct 1, 2021 Accepting new patients
McLaren Medical Group CurrentSince Oct 1, 2021 Accepting new patients
MCG Professional Billing L.L.C. Obstetrics & Gynecology Past Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

36500 S Gratiot Ave
Ste 202
Clinton Twp, MI 48035
Phone (586) 493-3727

37400 Garfield Rd
Ste 200
Clinton Twp, MI 48036
Phone (586) 286-4880

36500 S Gratiot Ave
Ste 102
Clinton Twp, MI 48035
Phone (586) 790-9003

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

65 Macomb Pl
Mount Clemens, MI 48043
Phone (810) 465-9630

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962450437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 S GRATIOT AVE",
            "address_2": "STE. 202",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351772",
            "telephone_number": "586-493-3740",
            "fax_number": "586-493-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERSON",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "5101012950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4178105",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4984868",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4178339",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.