DR. OTTO WILLIAM GRAESSER (NPI# 1174612543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174612543 |
| Entity Type | Individual |
| Full Name | DR. OTTO WILLIAM GRAESSER |
| Credential | DO |
| Practice Address |
1421 W Mt Hope Lansing MI 48910 |
| Practice Telephone | 5174876097 |
| Practice Fax Number | 5174875155 |
| Mailing Telephone | 5174876097 |
| Mailing Fax Number | 5174875155 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101004836 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1001871 | 05 |
| Street Address |
1421 W MT HOPE |
| City | LANSING |
| State | MI |
| Zip Code | 48910 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1083104673 | Andersen Medical Group, LLC | Family Medicine | 712 1st Ter # 205, Lansing, KS 66043 | 2018-05-18 |
| 1952783847 | Ravinder Singh Dhillon | Family Medicine | 3001 Trappers Cove Trl, Apt 3035 1a, Lansing, MI 48910-5770 | 2015-06-26 |
| 1407272206 | Suma Thomas | Family Medicine | 1540 Lake Lansing Rd Ste 202, Lansing, MI 48912-3757 | 2014-03-17 |
| 1881955920 | Abigail Urish | Family Medicine | 1200 E Michigan Ave Ste 245-c, Lansing, MI 48912-1800 | 2012-06-05 |
| 1598077216 | Gregory A Lawson | Family Medicine | 1200 E Michigan Ave, Ste 245, Lansing, MI 48912-1897 | 2010-07-10 |
| 1235441528 | Kristy Anne Beckholt | Family Medicine | 1215 E Michigan Ave 7th Fl Tower West, Lansing, MI 48912 | 2010-07-02 |
| 1790949667 | Luis G Valle | Family Medicine | 500 E Thomas St, Lansing, MI 48906-6118 | 2008-07-10 |
| 1174708622 | Peter D Cotey | Family Medicine | Lansing Va Cboc, 2025 S Washington Ave, Lansing, MI 48910 | 2008-01-03 |
| Find all providers in LANSING | ||||
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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.