PATRICK H NOUD MD PLC (NPI# 1134599046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134599046 |
| Entity Type | Organization |
| Organization Name | PATRICK H NOUD MD PLC |
| Practice Address |
2815 S Pennsylvania Ave Suite 204 Lansing MI 48910-3495 |
| Practice Telephone | 5172670200 |
| Practice Fax Number | 5172671877 |
| Mailing Telephone | 5172670200 |
| Mailing Fax Number | 5172671877 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | LYNDA L UNDERHILL (PRACTICE MANAGER) |
| Authorized Official Telephone | 5172670200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
4301095240 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2815 S PENNSYLVANIA AVE SUITE 204 |
| City | LANSING |
| State | MI |
| Zip Code | 48910-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853120 | Terrence R Frank | Urology | 2815 S Pennsylvania Ave, Suite 103, Lansing, MI 48910-3496 | 2005-07-07 |
| 1992277404 | Karen Lee Kirk | Social Worker | 2815 S Pennsylvania Ave, Lansing, MI 48910-3495 | 2018-12-21 |
| 1144792748 | Heather Maria Cantwell | Physical Therapy Assistant | 2815 S Pennsylvania Ave, Lansing, MI 48910-3495 | 2018-12-20 |
| 1225500820 | Barbara Daniels Upshaw | Occupational Therapist | 2815 S Pennsylvania Ave, Lansing, MI 48910-3495 | 2018-12-20 |
| 1598236630 | Jeffrey M Maidlow | Physical Therapist | 2815 S Pennsylvania Ave, Lansing, MI 48910-3495 | 2018-12-16 |
| 1790256824 | Amy Lee Moye | Physical Therapy Assistant | 2815 S Pennsylvania Ave, Lansing, MI 48910-3495 | 2018-12-16 |
| 1952872046 | Raeann G Hosford | Physical Therapy Assistant | 2815 S Pennsylvania Ave, Lansing, MI 48910-3495 | 2018-12-16 |
| 1053882340 | Laurie Armelagos | Occupational Therapist | 2815 S Pennsylvania Ave, Lansing, MI 48910-3495 | 2018-12-11 |
| 1265912851 | Meredith C Heisey Do PC | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910 | 2018-08-14 |
| 1053817494 | Daniel R Mesko Do PC | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910 | 2018-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
| 1699248112 | Cedar Pharmacy LLC | Pharmacy | 2513 S Cedar St., Lansing, MI 48910 | 2019-01-08 |
| 1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
| 1477036655 | Dalia Elgohary | Pharmacist | 5016 S Martin Luther King, Lansing, MI 48910 | 2018-09-13 |
| 1457856940 | Derrick Lynn Byrd | Social Worker | 4305 S. Cedar St., Lansing, MI 48910 | 2018-03-27 |
| 1326564964 | Lansing Health Supplies | Durable Medical Equipment & Medical Supplies | 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 | 2017-08-15 |
| 1265957203 | Heather E Dover | Dietitian, Registered | 2510 Solomon Dr, Lansing, MI 48910 | 2017-08-10 |
| 1407307705 | Elise Evans | Occupational Therapist | 2331 East Jolly Rd, Suite B, Lansing, MI 48910 | 2016-10-21 |
| Find all providers in zip 48910 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689871576 | Stacy Ann Frye | Orthopaedic Surgery | 3960 Patient Care Dr Ste 113, Lansing, MI 48911-4279 | 2007-07-02 |
| 1366491425 | Herbert E Ross | Orthopaedic Surgery | 3960 Patient Care Way, Ste 113, Lansing, MI 48911-4275 | 2006-05-08 |
| 1578512869 | Floyd G Goodman | Orthopaedic Surgery | 3960 Patient Care Way, Ste 113, Lansing, MI 48911-4275 | 2006-05-06 |
| 1205884780 | Herbert E Ross Do PC | Orthopaedic Surgery | 3960 Patient Care Way, Ste 113, Lansing, MI 48911-4275 | 2006-05-05 |
| 1285692723 | Floyd G Goodman Md PC | Orthopaedic Surgery | 3960 Patient Care Way, Ste 113, Lansing, MI 48911-4275 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1215075106 | Carl Henry Wierks | Orthopaedic Surgery | 1000 E Paris Ave Se Ste 215, Grand Rapids, MI 49546-3680 | 2007-02-02 |
| 1003909524 | Mfb Professional Services Inc | Orthopaedic Surgery | 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 | 2006-10-02 |
| 1598878266 | Abdallah Simaika | Orthopaedic Surgery | 2797 Applegate Rd, Po Box 55, Applegate, MI 48401-9752 | 2006-08-16 |
| 1689662405 | Richard M Howell | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2005-10-06 |
| 1235121138 | Steven T Plomaritis | Orthopaedic Surgery | 28001 Schoenherr Rd, Suite 3, Warren, MI 48088-4396 | 2005-08-17 |
| 1457961716 | Justin Michael Schupbach | Orthopaedic Surgery | 24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, MI 48105-9484 | 2020-08-03 |
| 1053945923 | Pure Performance Orthopedics & Sports Medicine | Orthopaedic Surgery | 27207 Lahser Rd Ste 108, Southfield, MI 48034-2168 | 2020-02-28 |
| 1396377131 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
| 1477011591 | Shannon Elizabeth Manno | Orthopaedic Surgery | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2019-03-07 |
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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.