LANSING ORTHOPEDIC PC (NPI# 1528096963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528096963 |
| Entity Type | Organization |
| Organization Name | LANSING ORTHOPEDIC PC |
| Practice Address |
3370 E Jolly Rd Lansing MI 48910 |
| Mailing Address |
3370 E Jolly Rd Lansing MI 48910-8552 |
| Practice Telephone | 5174873717 |
| Practice Fax Number | 5174921284 |
| Mailing Telephone | 5174873717 |
| Mailing Fax Number | 5174921284 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | KELLY SUE RIEVER (OFFICE MANAGER) |
| Authorized Official Telephone | 5173640120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MICHIGAN | 4853350100 | 01 |
| Street Address |
3370 E JOLLY RD |
| City | LANSING |
| State | MI |
| Zip Code | 48910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750377966 | Kenton Lee Waterbrook | Orthopaedic Surgery | 3370 E Jolly Rd, Lansing, MI 48910-8552 | 2005-09-22 |
| 1356884928 | Sarah Pangle | Occupational Therapist | 3370 E Jolly Rd, Lansing, MI 48910-8552 | 2016-11-29 |
| 1396147484 | Physiotherapy Associates | Respite Care | 3370 E Jolly Rd, Lansing, MI 48910-8552 | 2014-09-19 |
| 1154660025 | Tammy Marie Fickies | Occupational Therapist | 3370 E Jolly Rd, Ste B, Lansing, MI 48910-8552 | 2013-02-12 |
| 1669727871 | Broderick Earl Peariso | Physical Therapy Assistant | 3370 E Jolly Rd, Lansing, MI 48910-8552 | 2012-07-14 |
| 1083909048 | Melissa Drake | Physical Therapist | 3370 E Jolly Rd, Suite B, Lansing, MI 48910-8552 | 2011-06-17 |
| 1548562853 | Pamela Corden | Specialist | 3370 E Jolly Rd, Ste B, Lansing, MI 48910-8552 | 2010-11-19 |
| 1700113636 | Christie Lynne Lemon | Occupational Therapist | 3370 E Jolly Rd, Lansing, MI 48910-8552 | 2009-11-13 |
| 1295981918 | Shashi Krishna Gunda | Physical Therapist | 3370 E Jolly Rd, Lansing, MI 48910-8552 | 2008-08-13 |
| 1700087384 | Michelle Renee Keever | Physical Therapy Assistant | 3370 E Jolly Rd, Suite B, Lansing, MI 48910-8552 | 2007-05-30 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508285339 | Physician Coverage Services | Clinic/Center | 2310 E Michigan Ave, Lansing, MI 48912-4018 | 2014-04-09 |
| 1386784874 | Family Therapy Connections | Clinic/Center | 2815 S Pennsylvania Ave, Suite #2, Lansing, MI 48910-3496 | 2007-02-07 |
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| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1619584570 | Crossover Health Medical Group | Clinic/Center | 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183-1039 | 2020-09-24 |
| 1669087854 | Advance Counseling Services, LLC | Clinic/Center | 110 Trealout Dr Ste 103, Fenton, MI 48430-3211 | 2020-09-14 |
| 1104439033 | Otevwa Homes Inc | Clinic/Center | 6556 Rustic Ridge Trl, Grand Blanc, MI 48439-4956 | 2020-08-29 |
| 1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
| 1689204703 | Professional Ergonomics LLC | Clinic/Center | 1754 Central Park Dr Apt H, Okemos, MI 48864-1258 | 2020-01-16 |
| 1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
| 1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
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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.