MSU HEALTH CARE INC. (NPI# 1053943928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053943928 |
| Entity Type | Organization |
| Organization Name | MSU HEALTH CARE INC. |
| Practice Address |
804 Service Rd Ste A217 East Lansing MI 48824-7015 |
| Mailing Address |
804 Service Rd Ste A109b East Lansing MI 48824-7015 |
| Practice Telephone | 5173538122 |
| Practice Fax Number | 5174323713 |
| Mailing Telephone | 5173538122 |
| Mailing Fax Number | 5174323713 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | LISA M RUCKER (ENROLLMENT & PATIENT ACCTS MANAGER) |
| Authorized Official Telephone | 5173558462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083485 | Msu Health Care Inc. | Pharmacy | 4660 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5353 | 2020-01-29 |
| 1740802958 | Msu Health Care Inc. | Pediatrics | 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 | 2020-05-11 |
| 1760014633 | Msu Health Care Inc. | Internal Medicine | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2020-02-10 |
| 1689206419 | Msu Health Care Inc. | Physical Therapy Assistant | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2020-02-10 |
| 1518599356 | Msu Health Care Inc. | Nurse Practitioner | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
| 1912539743 | Msu Health Care Inc. | Allergy & Immunology | 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 | 2020-02-10 |
| 1396377115 | Msu Health Care Inc. | Medical Genetics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 | 2020-02-10 |
| 1396377131 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
| 1275165052 | Msu Health Care Inc. | Radiology | 804 Service Rd Ste D100, East Lansing, MI 48824-7015 | 2020-02-10 |
| 1356973119 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-10 |
| Street Address |
804 SERVICE RD STE A217 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828987 | Ahmad Nadim Al Sadat | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2005-08-11 |
| 1487156808 | Karyn Tetloff | Nurse Practitioner | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2018-03-01 |
| 1174975262 | Jennifer Edgar | Nurse Practitioner | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2016-07-13 |
| 1447639422 | Tori A Lafleur | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2015-05-24 |
| 1104255611 | Barbara Pickut | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2013-11-05 |
| 1245675982 | Ryan A Keating | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824 | 2013-05-08 |
| 1558396044 | Leo Maria Maher | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2006-07-12 |
| 1467498766 | David Irwin Kaufman | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2006-06-22 |
| 1508827270 | Leslie E Simons | Nurse Practitioner | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| 1154545853 | Anmar Razak | Psychiatry & Neurology | 804 Service Rd Room A217, East Lansing, MI 48824-7040 | 2007-04-12 |
| 1316015068 | Ronald James Jakubiak | Psychiatry & Neurology | 6462 Timber View Dr, East Lansing, MI 48823-9321 | 2006-12-01 |
| 1629181128 | Arshad Majid | Psychiatry & Neurology | A217 Clinical Ctr, East Lansing, MI 48824-1313 | 2006-08-17 |
| 1477563096 | John Lester Goudreau | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2006-08-08 |
| 1356355762 | Edmund J Messina | Psychiatry & Neurology | 1675 Watertower Pl, Suite 600, East Lansing, MI 48823-8043 | 2006-07-28 |
| 1487643680 | Deborah F Gelinas | Psychiatry & Neurology | 804 Service Road, Room A117, East Lansing, MI 48823-7038 | 2005-10-19 |
| 1104828987 | Ahmad Nadim Al Sadat | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2005-08-11 |
| 1447639422 | Tori A Lafleur | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2015-05-24 |
| 1184002966 | Lizl Maureen Lasky | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2015-05-12 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.