MR. GERALD L THOMAS (NPI# 1336361443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336361443 |
| Entity Type | Individual |
| Full Name | MR. GERALD L THOMAS |
| Credential | PA-C |
| Practice Address |
44555 Woodward Ave Suite 105 Pontiac MI 48341-5031 |
| Practice Telephone | 2483352977 |
| Practice Fax Number | 2488583880 |
| Mailing Telephone | 2483352977 |
| Mailing Fax Number | 2488583880 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601003758 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | P00135174 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164634333 | Gerald Lynn Thomas | Pharmacist | 2640 Floral Ave, Selma, CA 93662 | 2007-05-03 |
| 1104208313 | Gerald Thomas | Psychologist | 2976 Triverton Pike Dr, Fitchburg, WI 53711-5840 | 2015-06-24 |
| 1518256916 | Gerald Jason Thomas | Pharmacist | 459 N Broadnax St, Dadeville, AL 36853-2108 | 2011-04-06 |
| 1841208808 | Gerald Bernard Thomas | Internal Medicine | 3400 Shattuck Rd, Saginaw, MI 48603-3157 | 2006-08-04 |
| Street Address |
44555 WOODWARD AVE SUITE 105 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379758 | Donald Dino Bignotti | Family Medicine | 44555 Woodward Ave, Suite 402, Pontiac, MI 48341-5031 | 2005-07-12 |
| 1477002236 | Bloomfield Heart Center Pllc | Internal Medicine | 44555 Woodward Ave, Suite 403, Pontiac, MI 48341-5031 | 2016-09-22 |
| 1699124503 | Stroke Team One | Psychiatry & Neurology | 44555 Woodward Ave, Suite 104, Pontiac, MI 48341-5031 | 2016-06-10 |
| 1164800843 | Vincent James Krolikowski | Nurse Practitioner | 44555 Woodward Ave, Ste. 302, Pontiac, MI 48341-5031 | 2015-05-13 |
| 1699180505 | David Bracho | Anesthesiology | 44555 Woodward Ave, St. Joseph Mercy Oakland Mob Room 308, Pontiac, MI 48341-5031 | 2014-06-30 |
| 1538570189 | Reem Almuqati | Student in an Organized Health Care Education/Training Program | 44555 Woodward Ave, Suite 308, Pontiac, MI 48341-5031 | 2014-05-16 |
| 1083983498 | Kidney Center of Michigan | Internal Medicine | 44555 Woodward Ave, Suite 404, Pontiac, MI 48341-5031 | 2011-12-14 |
| 1740577170 | Ronald L Vandermolen | Surgery | 44555 Woodward Ave, Suite 501, Pontiac, MI 48341-5031 | 2011-07-06 |
| 1194011643 | Oakland Digestive Disease,pllc | Specialist | 44555 Woodward Ave, Ste 304, Pontiac, MI 48341-5035 | 2011-06-23 |
| 1174833081 | Ned Z Winkelman Md PC | Plastic Surgery | 44555 Woodward Ave, Suite 404, Pontiac, MI 48341-5031 | 2010-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831218734 | Theresa M Whalen | Physician Assistant | 44405 Woodward, Pontiac, MI 48431 | 2007-03-29 |
| 1326019126 | Greyard R Lamm | Physician Assistant | 461 W Huron St, Pontiac, MI 48341-1601 | 2006-01-30 |
| 1154449338 | Erin Tamar Martin | Physician Assistant | 461 W Huron St, Nomc Surgery Department, Pontiac, MI 48341-1601 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.