INGHAM RADIOLOGY ASSOCIATES, PC (NPI# 1245248061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245248061 |
| Entity Type | Organization |
| Organization Name | INGHAM RADIOLOGY ASSOCIATES, PC |
| Practice Address |
2909 E Grand River Ave Suite 102 Lansing MI 48912-4300 |
| Mailing Address |
780 W Lake Lansing Rd Suite 800 East Lansing MI 48823-8474 |
| Practice Telephone | 5173729256 |
| Mailing Telephone | 5173729256 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK CIMMERER (PRESIDENT) |
| Authorized Official Telephone | 5173729256 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN HEALTH ADVANTAGE | 1002897 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1002896 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 0C37603 | 01 |
| MI | HEALTHPLUS MI | 9000251 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1017356 | 01 |
| MI | PREFERRED CHOICES | 105014 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 0C37602 | 01 |
| MI | RAILROAD MEDICARE | CK0098 | 01 |
| MI | PRIORITY HEALTH | 00465 | 01 |
| MI | RAILROAD MEDICARE | CE9698 | 01 |
| Street Address |
2909 E GRAND RIVER AVE SUITE 102 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295788404 | Edward W. Sparrow Hospital Association | Family Medicine | 2909 E Grand River Ave, Suite 211, Lansing, MI 48912-4300 | 2006-05-18 |
| 1861986143 | Timothy Jay Roe | Specialist/Technologist | 2909 E Grand River Ave, Lansing, MI 48912-4300 | 2018-06-19 |
| 1346742855 | Timo Pekka Laukkanen | Physical Therapist | 2909 E Grand River Ave, Lansing, MI 48912-4300 | 2018-03-01 |
| 1376078337 | Sparrow Community Care | Durable Medical Equipment & Medical Supplies | 2909 E Grand River Ave, Lansing, MI 48912-4300 | 2017-04-27 |
| 1518263557 | Jenifer Lindsey Shreve Balawender | Family Medicine | 2909 E Grand River Ave, Suite 211, Lansing, MI 48912-4300 | 2011-02-09 |
| 1659496297 | Mary-anne Schuur | Pediatrics | 2909 E Grand River Ave, Suite 109, Lansing, MI 48912-4300 | 2007-03-20 |
| 1629106646 | Douglas John Hinterman | Dentist | 2909 E Grand River Ave, Ste 110, Lansing, MI 48912-4300 | 2007-03-01 |
| 1023171956 | Robert George Bettman | Dentist | 2909 E Grand River Ave, Ste 212, Lansing, MI 48912 | 2006-12-19 |
| 1407935257 | Sparrow Development, Incorporated | Durable Medical Equipment & Medical Supplies | 2909 E Grand River Ave, Lansing, MI 48912-4300 | 2006-11-03 |
| 1447333430 | Sparrow Development Inc | Durable Medical Equipment & Medical Supplies | 2909 E Grand River Ave, Lansing, MI 48912-4300 | 2006-10-23 |
| Find all providers in the same location | ||||
| 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 Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104857762 | James H. Deering | Radiology | 1540 Lake Lansing Rd Ste 107, Lansing, MI 48912-3757 | 2006-07-05 |
| 1003805904 | Robert J Wolf | Radiology | 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 | 2005-10-14 |
| 1164798286 | Aaron Matthew Vandreel | Radiology | 401 W Greenlawn Ave, Lansing, MI 48910 | 2012-03-23 |
| 1548450547 | Sherry Aujla | Radiology | 1215 E Michigan Ave, Sparrow Health System, Lansing, MI 48912-1811 | 2007-07-26 |
| 1417172875 | Robert Bruce Hills | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2007-04-13 |
| 1982632451 | Stephen D. Chapman | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-30 |
| 1568490837 | Michael P. Buetow | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1407884604 | Woon-man Chung | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1427086693 | Kenneth E. Thorp | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1386671188 | Tricia A. Byrd | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-27 |
| 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.