MR. THOMAS GORDON WAYNE (NPI# 1861415754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861415754 |
| Entity Type | Individual |
| Full Name | MR. THOMAS GORDON WAYNE |
| Credential | MD |
| Practice Address |
4150 S River Rd Ste F1 East China MI 48054 |
| Practice Telephone | 8103260858 |
| Practice Fax Number | 8103260933 |
| Mailing Telephone | 8103260858 |
| Mailing Fax Number | 8103260933 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301047530 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM | 0807408272 | 01 | |
| MI | 4277711 | 05 |
| Street Address |
4150 S RIVER RD STE F1 |
| City | EAST CHINA |
| State | MI |
| Zip Code | 48054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508167206 | Thomas G. Wayne M.d., P.l.l.c. | Family Medicine | 4150 S River Rd, Suite1, East China, MI 48054-2915 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075178 | Melissa Lynn Wilson | Behavior Technician | 5104 King Rd, China, MI 48054 | 2020-02-20 |
| 1427400605 | Morgan Conlon Scallen | Technician, Other | 5494 St. Clair Hwy., China Twp., MI 48054 | 2016-07-12 |
| 1639586910 | Jessica Scholey | Obstetrics & Gynecology | 4150 River Rd., Suite D, East China, MI 48054 | 2014-07-17 |
| 1215075064 | Gordon Carl Charlton | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-02 |
| 1164431060 | Juan J Geldres | Surgery | 40140 S River Rd, Suite 3b, East China, MI 48054 | 2006-08-07 |
| 1588634620 | Cory D Zieger | Orthopaedic Surgery | 4150 River Rd Ste C, East China, MI 48054 | 2006-01-23 |
| 1831194992 | Kenneth Son | Internal Medicine | 4100 River Rd, Acute Care Dept., East China, MI 48054 | 2005-06-16 |
| 1699136218 | Marie Elizabeth Teschler | Nurse Practitioner | 4014 River Rd, East China, MI 48054 | 2016-03-09 |
| 1184055394 | St. Clair Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 4154 S River Rd, East China, MI 48054 | 2013-12-13 |
| 1417091141 | China Township Family Dentistry | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-16 |
| Find all providers in zip 48054 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164657557 | Silvana Dhia Matte | Family Medicine | 4014 S River Rd Ste 6, East China, MI 48054-2916 | 2009-05-28 |
| 1841453586 | Suzanne V. Ross | Family Medicine | 4014 River Rd Ste 6, East China, MI 48054-2916 | 2008-07-02 |
| 1487775292 | Lisa Beth Scheel | Family Medicine | 4150 S River Rd Ste E, East China, MI 48054-2915 | 2007-04-02 |
| 1376585810 | Renee Susko | Family Medicine | 3436 S River Rd, East China, MI 48054-2204 | 2006-06-11 |
| 1255322509 | Mark T. O'brien | Family Medicine | 4150 River Rd, Suite F2, East China, MI 48054-2915 | 2005-11-03 |
| 1760471312 | Mark S Hamilton | Family Medicine | 4014 S River Rd, East China, MI 48054-2916 | 2005-10-17 |
| 1104234970 | Benjamin Paul Smith | Family Medicine | 4014 S River Rd Ste 6, East China, MI 48054-2916 | 2014-07-24 |
| 1508167206 | Thomas G. Wayne M.d., P.l.l.c. | Family Medicine | 4150 S River Rd, Suite1, East China, MI 48054-2915 | 2010-11-11 |
| 1588983001 | Laura Lucio-reincke, Pllc | Family Medicine | 3436 S River Rd, Ste B, East China, MI 48054-2204 | 2010-05-24 |
| 1396943015 | Mark T. O'brien, D.o., P.C. | Family Medicine | 4150 River Rd, Suite F2, East China, MI 48054-2915 | 2007-07-03 |
| Find all providers in EAST CHINA | ||||
| City | EAST CHINA |
| Zip Code | 48054 |
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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.