DEANDRA MEDORA THOMAS (NPI# 1427227990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427227990 |
| Entity Type | Individual |
| Full Name | DEANDRA MEDORA THOMAS |
| Practice Address |
989 University Dr Suite 105 Pontiac MI 48342-1885 |
| Practice Telephone | 2483732720 |
| Practice Fax Number | 2483733080 |
| Mailing Telephone | 2483732720 |
| Mailing Fax Number | 2483733080 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005182 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543935 | Deandra Thomas | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2019-11-25 |
| Street Address |
989 UNIVERSITY DR SUITE 105 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841231941 | Herbert Isaac II | Family Medicine | 989 University Dr, Suite 101, Pontiac, MI 48342-1885 | 2006-06-09 |
| 1013558386 | Integrated Care Clinicians, LLC | Clinic/Center | 989 University Dr, Pontiac, MI 48342-1885 | 2019-10-08 |
| 1922375724 | Sunrise Treatment Center, Inc | Clinic/Center | 989 University Dr, Suite 108, Pontiac, MI 48342-1885 | 2011-11-21 |
| 1104144526 | A.w.c. Fairclough Md PC | Internal Medicine | 989 University Dr, Suite 107, Pontiac, MI 48342-1885 | 2010-05-10 |
| 1710201470 | Sunrise Medical Services, P.C. | Community Health Worker | 989 University Dr, Suite 104, Pontiac, MI 48342-1885 | 2010-03-23 |
| 1528187762 | University Children 's Urgent Care | Pediatrics | 989 University Dr, Suite 101, Pontiac, MI 48342-1885 | 2007-03-28 |
| 1881727725 | Herbert L. Isaac II, M.d. Family Medicine Pllc | Family Medicine | 989 University Dr, Suite 101, Pontiac, MI 48342-1885 | 2007-03-13 |
| 1902937428 | Delince Pierre-louis | Counselor | 989 University Dr, Pontiac, MI 48342-1885 | 2007-03-08 |
| 1144350018 | Latanya Matthews | Counselor | 989 University Dr, Pontiac, MI 48342-1885 | 2007-03-07 |
| 1720118516 | David Lynn | Counselor | 989 University Dr, Pontiac, MI 48342-1885 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1265901755 | Rachel Harrington | Physician Assistant | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-11-14 |
| 1083104137 | Nicole M. Jack | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764 | 2018-05-15 |
| 1497257745 | Robert Edward Van Meter | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764 | 2018-03-02 |
| 1821522566 | Briana Stebbins | Physician Assistant | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-04-19 |
| 1164827994 | Rachel Kuisell | Physician Assistant | 585 South Blvd E Ste 100, Pontiac, MI 48341-3163 | 2014-10-22 |
| 1699180554 | Stephanie Nicole Stewart | Physician Assistant | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2014-06-30 |
| 1619227048 | Heather Hall | Physician Assistant | 50 N Perry St, Pontiac, MI 48342-2217 | 2012-09-13 |
| 1144502394 | Sally Jajou | Physician Assistant | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2011-09-14 |
| 1215235007 | Danielle Vanderveen | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2011-03-03 |
| Find all providers in PONTIAC | ||||
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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.