Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas M Mushong, PA

Individual provider Anesthesiology Physician · NPI 1699749366

Thomas M Mushong, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2002, 24 years ago. Practices with Visionary Medical Services, PC, a 63-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
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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 5601003863 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 5601003863 (MI)

Record details

NPI number1699749366
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESSeptember 4, 2019
Mailing address2537 Momentum Pl, Chicago, IL 60689-5325

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Visionary Medical Services, Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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