MCLAREN GREATER LANSING (NPI# 1265579734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265579734 |
| Entity Type | Organization |
| Organization Name | MCLAREN GREATER LANSING |
| Practice Address |
2727 S Pennsylvania Ave Lansing MI 48910 |
| Mailing Address |
401 W Greenlawn Ave Lansing MI 48910-2819 |
| Practice Telephone | 5173744900 |
| Practice Fax Number | 5173744909 |
| Mailing Telephone | 5179756000 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | MR. DALE THOMPSON (CFO) |
| Authorized Official Telephone | 5179757555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
5101012213 | MI | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 700C310570 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962808162 | Mclaren Greater Lansing | Family Medicine | 2479 Woodlake Cir, Suite 340, Okemos, MI 48864 | 2014-11-15 |
| 1235305673 | Mclaren Greater Lansing | Orthopaedic Surgery | 2815 S Pennyslvania, Suite 102, Lansing, MI 48910 | 2008-05-06 |
| 1558556332 | Mclaren Greater Lansing | Pediatrics | 401 W Greenlawn Ave Ste 110, Ingham Regional Medical Center, Lansing, MI 48910 | 2007-09-13 |
| 1316144157 | Mclaren Greater Lansing | Internal Medicine | 2510 Kerry St Ste 200, Lansing, MI 48912 | 2007-06-27 |
| 1831179837 | Mclaren Greater Lansing | Psychiatric Unit | 2727 S Penn Ave, Lansing, MI 48910-3488 | 2006-01-18 |
| 1609266204 | Mclaren Greater Lansing | Emergency Medicine | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911 | 2015-02-03 |
| 1104225168 | Mclaren Greater Lansing | Physician Assistant | 3937 Patient Care Way, #106, Lansing, MI 48911 | 2014-08-15 |
| 1992047252 | Mclaren Greater Lansing | Emergency Medicine | 6910 S Cedar St, Lansing, MI 48911 | 2013-03-25 |
| 1467704619 | Mclaren Greater Lansing | General Acute Care Hospital | 401 W Greenlawn Ave, Lansing, MI 48910 | 2012-10-12 |
| 1336491232 | Mclaren Greater Lansing | Physician Assistant | 2134 Hampton Pl, Okemos, MI 48864 | 2012-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MCLAREN GREATER LANSING | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Street Address |
2727 S PENNSYLVANIA AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386635654 | Madeline Rose Lewis | Family Medicine | 2727 S Pennsylvania Ave, Lansing, MI 48910-3488 | 2005-11-04 |
| 1962017905 | Andrew Miller | Specialist/Technologist, Other | 2727 S Pennsylvania Ave, Lansing, MI 48910-3488 | 2020-09-15 |
| 1518467075 | Kathryn Elen Goodman | Physical Therapist | 2727 S Pennsylvania Ave, Lansing, MI 48910-3488 | 2018-02-20 |
| 1164970497 | Mary Jo Atchison | Dietitian, Registered | 2727 S Pennsylvania Ave, Lansing, MI 48910-3488 | 2016-09-15 |
| 1013465343 | Lily Doher | Dietitian, Registered | 2727 S Pennsylvania Ave, Food & Nutrition, Lansing, MI 48910-3488 | 2016-09-15 |
| 1124576459 | Vasilikih Apostolos-stowell | Dietitian, Registered | 2727 S Pennsylvania Ave, Food & Nutrition, Lansing, MI 48910-3488 | 2016-09-15 |
| 1093174732 | Nicole Fraticelli | Student in an Organized Health Care Education/Training Program | 2727 S Pennsylvania Ave, Lansing, MI 48910-3488 | 2016-02-22 |
| 1174932792 | Wound Care Associates Pllc | Clinic/Center | 2727 S Pennsylvania Ave, Lansing, MI 48910-3488 | 2014-08-07 |
| 1215247630 | Mclaren Greater Lansing | Surgery | 2727 S Pennsylvania Ave, Lansing, MI 48910 | 2010-10-19 |
| 1487827911 | Mclaren Greater Lansing | Emergency Medicine | 2727 S Pennsylvania Ave, Lansing, MI 48910 | 2008-04-04 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399798 | Enhua Wang | Internal Medicine | 1215 E Michigan Ave Ste 500, Lansing, MI 48912-1811 | 2020-09-07 |
| 1982235768 | Pine Point Medical, Pllc | Internal Medicine | 3105 N. Triphammer Road, Suite 7, Lansing, NY 14882-8906 | 2020-01-30 |
| 1487154290 | Edward W Sparrow Hospital Association | Internal Medicine | 1200 E Michigan Ave Ste 510, Lansing, MI 48912-1899 | 2018-02-19 |
| 1770094153 | Thomas M Bergren | Internal Medicine | 110 E Allegan St Apt 1, Lansing, MI 48933-1852 | 2017-10-12 |
| 1740543180 | Sundeev Singh Gill | Internal Medicine | 3955 Patient Care Dr Ste B, Lansing, MI 48911-4271 | 2012-06-20 |
| 1578837332 | Robert Russell Hillman | Internal Medicine | 1215 E Michigan Ave # 7, Lansing, MI 48912-1811 | 2012-02-26 |
| 1205147873 | Joshua P June | Internal Medicine | 3394 E Jolly Rd Ste C, Lansing, MI 48910-8595 | 2010-06-28 |
| 1790001816 | Fatima Sultan | Internal Medicine | 1200 E. Michigan Ave Ste 500, Lansing, MI 48912 | 2010-04-14 |
| 1790007359 | Thomas Louis Schneider | Internal Medicine | 920 Townsend St, Mc 489-066-046, Lansing, MI 48921-0001 | 2010-02-24 |
| 1376873760 | Soumya Madala Md Pllc | Internal Medicine | 3937 Patient Care Way Ste 102, Lansing, MI 48911-4287 | 2010-01-06 |
| 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.