1932188224 NPI number — DR. THOMAS W BIGGS II DO

Table of content: DR. THOMAS W BIGGS II DO (NPI 1932188224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932188224 NPI number — DR. THOMAS W BIGGS II DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIGGS
Provider First Name:
THOMAS
Provider Middle Name:
W
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
II
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932188224
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5825 S MAIN ST
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
CLARKSTON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48346-2983
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-620-3000
Provider Business Mailing Address Fax Number:
248-620-0110

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5825 S MAIN ST
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
CLARKSTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48346-2983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-620-3000
Provider Business Practice Location Address Fax Number:
248-620-0110
Provider Enumeration Date:
01/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  5101010245 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P41860001 , issued by the state of ( MI ) . This identifiers is of the category "MEDICARE ID-TYPE UNSPECIFIED".
  • Identifier: F37792 . This identifiers is of the category "MEDICARE UPIN".