MR. THOMAS WILLIAM DEROCHE PA-C NPI 1467529735

NPI Information

  • NPI: 1467529735
  • Provider Name: MR. THOMAS WILLIAM DEROCHE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7870W US HIGHWAY 2
    MANISTIQUE, MI
    ZIP 49854
  • Phone: (906) 341-3200

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NPI Details

MR. Thomas William Deroche, PA-C is a medical physician assistant in Manistique, MI. MR. Thomas William Deroche, PA-C NPI is 1467529735. 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:

7870W US HIGHWAY 2
MANISTIQUE, MI
ZIP 49854-992
Phone: (906) 341-3200

The NPI 1467529735 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/13/2015.

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
1363AM0700XPhysician AssistantMedical5601002637MICHIGANYes

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: 3/30/2025

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