Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan D Thelen, PA-C

Individual provider Physician Assistant · NPI 1760614101

Jonathan D Thelen, PA-C is a Physician Assistant in East Lansing, Michigan. Qualified in 2009, 17 years ago. Practices with Troy Gastroenterology PC, a 47-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1650 Ramblewood Dr Ste 100
East Lansing, MI 48823-7396
Phone: (517) 332-1200
Fax: (517) 351-7122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005596 (MI)

Record details

NPI number1760614101
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2009
Last updated in NPPESAugust 19, 2009
Mailing address1650 Ramblewood Dr Ste 100, East Lansing, MI 48823-7396

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Troy Gastroenterology Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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