Individual provider · Type 1 NPI

Thomas M. Mushong, PA

Physician Assistant · Grand Rapids, MI

NPI number 1699749366 Active

Practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Call (616) 391-1680 Map

Mailing address

4100 Embassy Dr SE
Grand Rapids, MI 49546-2416

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601003863 (MI)
Anesthesiology Physician 207L00000X5601003863 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1699749366

Thomas M. Mushong, PA's National Provider Identifier is 1699749366, issued on Feb 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 28, 2026.