DR. MARK WILLIAM THOMAS (NPI# 1750304796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750304796 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM THOMAS |
| Credential | M.D. |
| Practice Address |
7210 N Main St Ste 205 Clarkston MI 48346-1575 |
| Mailing Address |
19186 Chelton Dr Beverly Hills MI 48025-5212 |
| Practice Telephone | 2486259755 |
| Practice Fax Number | 2486209334 |
| Mailing Telephone | 2486259755 |
| Mailing Fax Number | 2486209334 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 4301076069 | MI | Other Service Providers |
| X | 208000000X | Pediatrics | 4301076069 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740697937 | Mark David Thomas | Nurse Practitioner | 1534 Clay St Apt 5, San Francisco, CA 94109-3848 | 2014-07-19 |
| 1811233794 | Mark Shannon Thomas | Specialist/Technologist, Other | 2124 Fountain Sq, Snellville, GA 30078-3196 | 2012-12-20 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1003138785 | Mark Carl Thomas | Orthopaedic Surgery | 11611 Eureka Way, South Jordan, UT 84095-7916 | 2010-02-22 |
| 1396988705 | Mark K Thomas | Military Health Care Provider | 501 Lemay Plz N, Maxwell Afb, AL 36112-6025 | 2009-04-15 |
| 1093970196 | Mark S Thomas | Respiratory Therapist, Registered | 649 Meadowood St, Grand Junction, CO 81504-6977 | 2008-07-28 |
| 1538359377 | Mark Edward Thomas | Dentist | 3500 Truxtun Avenue, Suite A, Suite B, Bakersfield, CA 93301-3018 | 2007-07-27 |
| 1609919349 | Mark Edward Thomas | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-5230 | 2007-02-14 |
| 1740384346 | Mark Alan Thomas | Chiropractor | 4624 Lebanon Pike, Hermitage, TN 37076-1316 | 2006-09-12 |
| 1699791376 | Mark H. Thomas | Specialist | 720 Energy Center Blvd Ste 504, Northport, AL 35473-2794 | 2006-07-14 |
| Street Address |
7210 N MAIN ST STE 205 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912412792 | Kirit Pindolia | Medical Genetics, Ph.D. Medical Genetics | 48142 Royal Pointe Dr, Canton, MI 48187-5466 | 2017-12-03 |
| 1518279058 | Susan Michalowski | Medical Genetics, Ph.D. Medical Genetics | 440 Burroughs St Ste 446, Detroit, MI 48202-3429 | 2010-07-13 |
| 1134377450 | Nemer Ebeid Hanna | Medical Genetics, Ph.D. Medical Genetics | 7214 Danbrooke, West Bloomfield, MI 48322-2927 | 2008-08-28 |
| 1760487540 | Helga Valdmanis Toriello | Medical Genetics, Ph.D. Medical Genetics | 21 Michigan St Ne, Ste 465, Grand Rapids, MI 49503-2530 | 2005-06-17 |
| 1225406820 | Enas Eraqi | Medical Genetics, Ph.D. Medical Genetics | 33155 Annapolis St, Wayne, MI 48184-2405 | 2015-09-13 |
| 1205148616 | Renaissance Medical Center Pllc | Medical Genetics, Ph.D. Medical Genetics | 430 Mack Ave, Detroit, MI 48201-2136 | 2010-07-14 |
| 1376728857 | Oak Neurovascular P.C. | Medical Genetics, Ph.D. Medical Genetics | 24361 Greenfield Rd, Suite 202, Southfield, MI 48075-3139 | 2008-01-03 |
| 1922288703 | Pramod Raval M.d P.C. | Medical Genetics, Ph.D. Medical Genetics | 3120 Carpenter St, Suite 313, Hamtramck, MI 48212-9802 | 2007-11-08 |
| 1689885535 | Deon D Middlebrook M D PC | Medical Genetics, Ph.D. Medical Genetics | 20176 Livernois Ave, Detroit, MI 48221-1346 | 2007-05-24 |
| 1760699979 | Rita D Rogers | Medical Genetics, Ph.D. Medical Genetics | 1009 Drexel St, Dearborn, MI 48128-1639 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
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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.