Provider Type Icon

DR. THOMAS MARK PROSE M.D. NPI 1275648123


NPI Information

NPI: 1275648123
Provider Name: DR. THOMAS MARK PROSE, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
21333 HAGGERTY RD
SUITE 150
NOVI, MI
ZIP 48375
Phone: (248) 662-0250
Get Directions

DR. Thomas Mark Prose, M.D. is an internal medicine in Novi, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Thomas Mark Prose, M.D. NPI is 1275648123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21333 HAGGERTY RD
SUITE 150
NOVI, MI
ZIP 48375-510
Phone: (248) 662-0250
Fax: (248) 662-9844

The NPI 1275648123 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME 91109FLORIDANo
2207R00000XInternal Medicine052622GEORGIANo
3207R00000XInternal MedicineM-9253IDAHONo
4207R00000XInternal Medicine2003003395MISSOURINo
5207R00000XInternal Medicine35-07-2106-POHIONo
6207R00000XInternal Medicine4301046178MICHIGANYes
7207R00000XInternal MedicineILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q24638002MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2K17045MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3PR0821822MEDICARE ID-TYPE UNSPECIFIEDOHIO
42008473MEDICAIDOHIO
5A79804MEDICARE UPIN
61960245MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.