DR. THOMAS JOHN ARCHAMBEAU MD NPI 1851474977

NPI Information

NPI: 1851474977
Provider Name: DR. THOMAS JOHN ARCHAMBEAU, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 363-7339
Get Directions

DR. Thomas John Archambeau, MD is a diagnostic radiology radiology in Grand Rapids, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Thomas John Archambeau, MD NPI is 1851474977. 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:

3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7339
Fax: (616) 361-5828

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/4/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	4301045566	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2726185	MEDICAID	MICHIGAN
2	200000001150	OTHER	MICHIGAN	PHP OF MIDMICHIGAN
3	300023183	OTHER	MICHIGAN	RAILROAD MEDICARE
4	0C37603005	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
5	1691138	MEDICAID	MICHIGAN
6	A78598	MEDICARE UPIN	MICHIGAN
7	300023165	OTHER	MICHIGAN	RAILROAD MEDICARE
8	0C36003005	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
9	1691094	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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