DR. JEFFREY GERARD DEPPEN (NPI# 1659371177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659371177 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY GERARD DEPPEN |
| Credential | DO |
| Practice Address |
2720 S Washington Ave Suite 300 Lansing MI 48910-2873 |
| Practice Telephone | 5174878255 |
| Practice Fax Number | 5174872059 |
| Mailing Telephone | 5174878255 |
| Mailing Fax Number | 5174872059 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2010-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 5101014681 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4748047 | 05 | |
| MI | PHYSICIANS HEALTH PLAN | 200000001870 | 01 |
| MI | BCBSM | 53311215 | 01 |
| MI | MCLAREN HEALTH PLAN | 1015391 | 01 |
| MI | RAILROAD MEDICARE | CA3383 | 01 |
| MI | PHP MEDICAID | 200000001870 | 01 |
| MI | BCBSM | 020C311510 | 01 |
| MI | INGHAM HEALTH PLAN | 1015391 | 01 |
| Street Address |
2720 S WASHINGTON AVE SUITE 300 |
| City | LANSING |
| State | MI |
| Zip Code | 48910-2873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801907944 | Lansing Surgical Associates, P.l.l.c. | Surgery | 2720 S Washington Ave, Suite 300, Lansing, MI 48910-2873 | 2006-08-31 |
| 1821064528 | Craig A Gudakunst | Surgery | 2720 S Washington Ave, Suite 300, Lansing, MI 48910-2800 | 2006-02-23 |
| 1366423303 | Mark Wayne Jones | Surgery | 2720 S Washington Ave, Suite 300, Lansing, MI 48910-2873 | 2005-11-08 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1457673881 | Anne Evelyn Missavage Md PC | Surgery | 3955 Patient Care Way Ste A, Lansing, MI 48911-4271 | 2010-02-26 |
| 1194953976 | Jordan Neff Baker | Surgery | 401 W. Greenlawn Ave, Lansing, MI 48910 | 2009-06-30 |
| 1851490205 | James E. Mcgillicuddy II | Surgery | 901 E Mount Hope Ave, Lansing, MI 48910-3207 | 2006-09-22 |
| 1487665519 | John Paul Kepros | Surgery | Sparrow Hospital - Trauma Services, 1215 E Michigan Ave, Lansing, MI 48912 | 2006-08-11 |
| 1346254406 | Marc D. Basson | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2006-07-27 |
| 1245257914 | Clsudio Rebosura Decena | Surgery | 117 Rock Creek Loop, Lansing, KS 66043-6211 | 2006-07-17 |
| 1598749194 | Mark I Menning | Surgery | 737 N Grand Ave, Lansing, MI 48906-5160 | 2005-12-06 |
| 1710961305 | Daniel C Coffey | Surgery | 1627 Lake Lansing Rd Ste 100, Lansing, MI 48912-3788 | 2005-12-06 |
| 1205817749 | Suzanne Marie Hanses | Surgery | 4911 W St Joe Hwy, Ste 102, Lansing, MI 48917-4088 | 2005-11-10 |
| 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.