DR. EDMOND J. DUCOMMUN


Address: 1540 Lake Lansing Rd, Ste 101, Lansing, MI 48912-3707
Phone: 5179133810

DR. EDMOND J. DUCOMMUN (NPI# 1093767816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093767816
Entity Type Individual
Full Name DR. EDMOND J. DUCOMMUN
Credential M.D.
Practice Address 1540 Lake Lansing Rd
Ste 101
Lansing
MI 48912-3707
Practice Telephone 5179133810
Practice Fax Number 5179133811
Mailing Telephone 5179133810
Mailing Fax Number 5179133811
Enumeration Date 2006-05-17
Last Update Date 2019-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation 4301059003 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI MCLAREN HEALTH PLAN-MEDICAID 1010729 01
MI PHP FAMILYCARE 200000001909 01
MI 4541831 05
MI RAILROAD MEDICARE P00464732 01
MI BLUE CROSS BLUE SHIELD OF MICHIGAN 0250331789 01
MI 4848089 05
MI MCLAREN HEALTH PLAN-COMMERCIAL 1010729 01
MI PHP 200000001909 01
MI AETNA 4594007 01
MI MEDICARE PLUS BLUE 0M214400029 01
MI MCLAREN HEALTH ADVANTAGE 1010729 01

Office Location

Street Address 1540 LAKE LANSING RD
STE 101
City LANSING
State MI
Zip Code 48912-3707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003805904 Robert J Wolf Radiology 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 2005-10-14
1215303383 Kimberly Naert Registered Nurse 1540 Lake Lansing Rd, Ste. G05, Lansing, MI 48912-3756 2015-08-12
1033513148 Edward W Sparrow Hospital Association Obstetrics & Gynecology 1540 Lake Lansing Rd, Suite 205, Lansing, MI 48912-3756 2014-10-17
1730519109 Mary Kosman Nurse Practitioner 1540 Lake Lansing Rd, Ste G06, Lansing, MI 48912-3756 2013-11-20
1851735153 Megan Quinn Thompson Registered Nurse 1540 Lake Lansing Rd, Suite 201, Lansing, MI 48912-3756 2013-04-18
1275886392 Catherine Jo Johnson Registered Nurse 1540 Lake Lansing Rd, Lansing, MI 48912-3756 2012-10-26
1861745333 Ronel Claassens Occupational Therapist 1540 Lake Lansing Rd, Suite G-01, Lansing, MI 48912-3756 2012-10-22
1275820300 Firas Mohammad Riyazuddin Internal Medicine 1540 Lake Lansing Rd, Suite 102, Lansing, MI 48912-3756 2011-07-10
1538450226 Celina Ann Kirsch Physician Assistant 1540 Lake Lansing Rd, Suite 103, Lansing, MI 48912-3756 2011-04-28
1356630099 Malani Marie Gupta Anesthesiology 1540 Lake Lansing Rd, Suite G06, Lansing, MI 48912-3756 2011-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316563646 Shelley Gabel Surgery 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 2020-06-23
1568087237 Ahmed Mohamed Haggag Student in an Organized Health Care Education/Training Program 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 2020-06-09
1467074773 Craig Hargurkirat Malli Family Medicine 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 2020-05-08
1215558945 Temmy J. Brotherson Family Medicine Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 2020-05-05
1386265452 Kyle Patrick Doran Emergency Medicine Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 2020-04-30
1316418841 Andrea Mcswain Do PC Obstetrics & Gynecology 1909 E. Michigan Ave, Lansing, MI 48912 2018-12-10
1215386115 Michael Vernon Hollis Student in an Organized Health Care Education/Training Program 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 2016-06-10
1518333970 Eastside Community Action Center Social Worker 1001 Dakin Street, Suite B, Lansing, MI 48912 2015-08-19
1649667403 Cheryl Ann Wade Counselor 1712 E Michigan Ave., Lansing, MI 48912 2015-04-20
1083006134 Carol Pratt Occupational Therapist 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 2015-02-26
Find all providers in zip 48912

Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174690523 Jim Roland Sylvain Physical Medicine & Rehabilitation 1200 East Michigan Ave Ste 520, Lansing, MI 48912-1837 2006-11-29
1407944747 Lawrence Lee Prokop Physical Medicine & Rehabilitation 2815 South Pennsylvania Ave, Suite 2, Lansing, MI 48910 2006-10-11
1386749604 James Joseph Rechtien Physical Medicine & Rehabilitation 1200 E Michigan Avenue, Suite 420, Lansing, MI 48912 2006-09-13
1952345910 Michael Thomas Andary Physical Medicine & Rehabilitation 1200 E Michigan Ave Ste 520, Lansing, MI 48912-1899 2006-06-16
1861014441 Kara Ashley Archambault Physical Medicine & Rehabilitation 1215 E Michigan Ave, Lansing, MI 48912-1811 2020-05-17
1851913420 Joshua Adam Gage Physical Medicine & Rehabilitation 1215 E Michigan Ave, Lansing, MI 48912-1896 2020-05-17
1205458452 Pavel Volkov Physical Medicine & Rehabilitation 1322 E Michigan Ave, Lansing, MI 48912-2199 2020-05-11
1801389143 Eric Kendall Physical Medicine & Rehabilitation 7402 Westshire Dr Ste 105, Lansing, MI 48917-8687 2018-06-12
1346778289 Jonathan Morgan Physical Medicine & Rehabilitation 7402 Westshire Dr Ste 105, Lansing, MI 48917-8687 2017-05-23
1437684008 Alexander James Carrese Physical Medicine & Rehabilitation 1200 E Michigan Ave, Suite 520, Lansing, MI 48912-1800 2017-04-20
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City LANSING
Zip Code 48912

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Dataset Information

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.

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