THOMAS J VEVERKA (NPI# 1649265778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649265778 |
| Entity Type | Individual |
| Full Name | THOMAS J VEVERKA |
| Credential | M.D. |
| Practice Address |
4201 Campus Ridge Drive Midland MI 48640 |
| Practice Telephone | 9898391795 |
| Practice Fax Number | 9898391785 |
| Mailing Telephone | 9898391795 |
| Mailing Fax Number | 9898391785 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2016-11-03 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0513000 | MI | Other Service Providers |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
4301051300 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4201 CAMPUS RIDGE DRIVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541441 | Wilfred Lewis Vander Roest | Internal Medicine | 4201 Campus Ridge Drive, Midland, MI 48640 | 2005-07-12 |
| 1538511571 | Kathryn E Esch | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2016-07-01 |
| 1952793622 | Steven Laporte | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2015-03-04 |
| 1790177707 | Devon Brodie | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2015-02-27 |
| 1407259658 | Erik Kuhl | Physician Assistant | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-10-02 |
| 1689082406 | Ardeth Greene | Registered Nurse | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-07-24 |
| 1790196145 | Sharon Hakes | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-05-19 |
| 1487077301 | Jamie Trumble | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-01-29 |
| 1609217603 | Jennifer A Muzzy | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2013-07-08 |
| 1861775959 | Stephanie Marie Mallord | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2011-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467748210 | John Dillon Galbraith | Surgery | 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503 | 2011-06-21 |
| 1215127501 | Vinod K Puri | Surgery | 16001 W. Nine Mile Rd, Providence Hospital, Southfield, MI 48075 | 2007-08-01 |
| 1215090840 | Michael S. Malian | Surgery | 18101 Oakwood Boulevard, Beaumont Hospital, Dearborn Trauma Svcs, Dearborn, MI 48123 | 2006-12-18 |
| 1164594420 | James E Hoogeboom | Surgery | 6290 Burton St Se, Grand Rapids, MI 49546-6775 | 2006-11-14 |
| 1699870865 | St. Marys of Michigan Specialists | Surgery | 4690 Mcleod Dr E, Ste B, Saginaw, MI 48604-2836 | 2006-09-13 |
| 1659371326 | Marc L. Cullen | Surgery | Childrens Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201 | 2005-07-26 |
| 1518522093 | Jamal D Farhan, M.d., P.C. | Surgery | 1020 Charter Dr Ste A, Flint, MI 48532-3584 | 2019-05-09 |
| 1306386586 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N East Ave, Jackson, MI 49201-1753 | 2017-03-07 |
| 1154863033 | United Critical Care Plc | Surgery | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-11-09 |
| 1578941969 | John R Montgomery | Surgery | 1500 E Medical Center Dr, 2110 Tc, Spc 5346, Ann Arbor, MI 48109-5000 | 2015-05-18 |
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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.