Thomas Park M.D. PC
NPI 1881904605ActiveOrganization· Preferred Provider Organization· Southfield, MI
Preferred Provider Organization in Southfield, Michigan, registered in NPPES in October 2010. The authorized official on file is Thomas T. Park, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881904605 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2010 |
| Last updated in NPPES | Oct 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 4301040933 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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