Individual provider Active NPI

Thomas C Spoor, MD

  • Ophthalmology Physician
  • Warren, MI
National Provider Identifier
1982681086
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301047179 Issued in MI
Practice address
27450 Schoenherr Rd
Suite 200
Warren, MI 48088-6683
Phone
(586) 581-7860
Fax
(586) 582-7861
NPI assigned
Dec 29, 2005
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301047179 MI Primary

Addresses

Primary practice location

27450 Schoenherr Rd
Suite 200
Warren, MI 48088-6683

Mailing address

27450 Schoenherr Rd
Suite 200
Warren, MI 48088-6683
Phone (586) 581-7860

Other identifiers 1

IdentifierTypeStateIssuer
3518599MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061211000258 MI Practitioner - Ophthalmology 1355324757 Reassigns benefits to 1 organization
I20070924000066 FL Practitioner - Ophthalmology 1355324757 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301047179MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neuro Ophthalmology & Oculoplastics PLC Ophthalmology CurrentSince Apr 1, 2016 Accepting new patients
Sarasota Retina Institute P a Ophthalmology CurrentSince Jan 1, 2007 Accepting new patients
Yaldo Eye Centers PC Ophthalmology Past Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Past Accepting new patients
Associated Eye Specialists of Troy, PC Ophthalmology Past Accepting new patients

Locations

3400 Bee Ridge Rd
Ste 200
Sarasota, FL 34239
Phone (941) 867-1080

27450 Schoenherr Rd
Ste 200
Warren, MI 48088
Phone (586) 362-8073

Interoperability endpoints

  • Direct secure messaging: tspoor@sarasotaretinainst.intellechartdirect.net
  • Direct secure messaging: tspoor1152154@direct.hfhs.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1982681086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 SCHOENHERR RD",
            "address_2": "SUITE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886683",
            "telephone_number": "586-581-7860",
            "fax_number": "586-582-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 SCHOENHERR RD",
            "address_2": "SUITE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886683",
            "telephone_number": "586-581-7860",
            "fax_number": "586-582-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOOR",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301047179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3518599",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.