ELIZABETH HENGSTEBECK


Address: 804 Service Rd, A142, East Lansing, MI 48824-7015
Phone: 5173533050

ELIZABETH HENGSTEBECK (NPI# 1457355042) 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) 1457355042
Entity Type Individual
Full Name ELIZABETH HENGSTEBECK
Credential DO
Practice Address 804 Service Rd
A142
East Lansing
MI 48824-7015
Mailing Address 804 Service Rd
A201
East Lansing
MI 48824-7015
Practice Telephone 5173533050
Practice Fax Number 5174323742
Mailing Telephone 5178842976
Mailing Fax Number 5174323928
Enumeration Date 2005-06-10
Last Update Date 2017-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 5101012728 MI Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine OS8643 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE PART B, PTAN 47880Y 01
FL 265730900 05
MI 1457355042 05
FL MEDICARE PART B, GROUP PTAN 99388 01

Office Location

Street Address 804 SERVICE RD
A142
City EAST LANSING
State MI
Zip Code 48824-7015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467906271 Barbara Mitchell Nurse Practitioner 804 Service Rd, A217, East Lansing, MI 48824-7015 2016-08-09
1578946406 Prajwal Dhakal Internal Medicine 804 Service Rd, A225, East Lansing, MI 48824-7015 2015-07-09
1184007890 Omar Albanyan Internal Medicine 804 Service Rd, A225 Clinical Center, East Lansing, MI 48824-7015 2015-06-30
1942681226 Laura Bohatch Internal Medicine 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824-7015 2015-06-12
1225417850 Georgette Cooke Internal Medicine 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824-7015 2015-05-28
1326427931 Negar Salehi Internal Medicine 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824 2015-05-28
1871900563 Tariq Khalid Alrasheed Internal Medicine 804 Service Rd, Room A-225, East Lansing, MI 48824-7021 2014-07-15
1851716732 Christie Daiss Pharmacist 804 Service Rd, A-101, East Lansing, MI 48824-7021 2014-02-28
1538583380 Jane French Pharmacist 804 Service Rd, East Lansing, MI 48824-7021 2014-02-14
1669727715 Richa Tikaria Internal Medicine 804 Service Rd, A225 Clinical Center, East Lansing, MI 48824-7015 2012-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528680303 Emilia Elizabeth Mattioli Psychiatry & Neurology 965 Fee Road Room A223, East Lansing, MI 48824 2020-05-14
1447871983 James O'brien Psychiatry & Neurology Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 2020-05-06
1750916979 Mulin Xiong Student in an Organized Health Care Education/Training Program 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 2020-03-09
1821659301 Tovah Apolonia Aho Psychiatry & Neurology Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 2019-06-25
1912564881 Asmara Theresa Hoo Psychiatry & Neurology 965 Fee Road, Room A233, East Lansing, MI 48824 2019-05-24
1790276822 Traverse Health Clinic and Coalition Clinic/Center East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 2018-05-24
1922598515 Jubin Joseph Cheruvelil Specialist/Technologist, Other 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 2018-05-18
1073003257 Dawn Arvye Contreras Health Educator 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 2018-05-14
1710406046 Kimberly Ann Breukink Social Worker 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 2017-09-19
1043766314 Ahmed Jouan Psychiatry & Neurology 804 Service Rd A217, East Lansing, MI 48824 2016-08-28
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730740507 Hannah Finnerty Family Medicine 2852 Eyde Pkwy Ste 175, East Lansing, MI 48823-5378 2019-06-24
1588158869 Ralph A. Harvey Md, Pllc Family Medicine 1350 E Lake Lansing Rd Ste C, East Lansing, MI 48823-7413 2018-06-19
1972999365 Jennifer Renee Mccaskill Family Medicine 2900 Hannah Blvd Ste 216, East Lansing, MI 48823 2015-04-13
1124111026 Full Spectrum Family Medicine PC Family Medicine 2025 Abbot Rd, Suite 100, East Lansing, MI 48823-8573 2006-10-02
1972609683 Mary Elizabeth Thorne Family Medicine 1280 Chartwell Carriage Way North, East Lansing, MI 48823-2404 2006-09-16
1477658565 William Holding Page-echols Family Medicine 2025 Abbott Rd, Suite 100, East Lansing, MI 48823-8573 2006-09-13
1982706560 Heidi J. Johnson Family Medicine 2035 Asher Ct, Suite 200, East Lansing, MI 48823-8480 2006-09-02
1396859013 Carol Lynn Monson Family Medicine 804 Clinical Center, A235, East Lansing, MI 48824 2006-08-19
1689602971 Michael J Chamot Family Medicine 107 Olin Health Center, East Circle Dr, East Lansing, MI 48824-1037 2006-06-28
1346276144 David Todd Walsworth Family Medicine 804 Service Rd # A142, East Lansing, MI 48824-7015 2006-06-23
Find all providers in EAST LANSING

Competitor

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City EAST LANSING
Zip Code 48824

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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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