MICHIGAN STATE UNIVERSITY (NPI# 1699858431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699858431 |
Entity Type | Organization |
Organization Name | MICHIGAN STATE UNIVERSITY |
Practice Address |
4660 S Hagadorn Rd Ste 420 East Lansing MI 48823-5353 |
Mailing Address |
804 Service Rd # A109f East Lansing MI 48824-7015 |
Practice Telephone | 5178846100 |
Practice Fax Number | 5178846233 |
Mailing Telephone | 5178842976 |
Mailing Fax Number | 5174323928 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2018-04-05 |
Authorized Official Name | LISA RUCKER (ENROLLMENT & PATIENT ACCTS MANAGER) |
Authorized Official Telephone | 5178842976 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184182982 | Michigan State University | Local Education Agency (LEA) | 446 W. Circle Drive, Room 409, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824-1039 | 2019-03-11 |
1427443274 | Michigan State University | Behavioral Analyst | 325 W Grand River Ave, East Lansing, MI 48823 | 2015-03-30 |
1629307251 | Michigan State University | Preventive Medicine | 346 Olin Health Ctr, East Circle Drive, East Lansing, MI 48824-1037 | 2009-12-10 |
1295978054 | Michigan State University | Clinical Medical Laboratory | 1355 Bogue St Rm B228, East Lansing, MI 48824-6207 | 2009-04-09 |
1487780565 | Michigan State University | Clinical Medical Laboratory | B228 Life Sciences Bldg, East Lansing, MI 48824 | 2007-02-26 |
1518046598 | Michigan State University | Clinic/Center | 804 Clinical Center, A114, East Lansing, MI 48824-1313 | 2006-11-02 |
1639253784 | Michigan State University | Registered Nurse | 804 Service Rd Ste A142, East Lansing, MI 48824-7015 | 2006-10-25 |
1962515221 | Michigan State University | Pharmacy | 463 E Circle Dr. Rm103, East Lansing, MI 48824 | 2006-08-17 |
1992712053 | Michigan State University | Occupational Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2006-08-02 |
1891747614 | Michigan State University | Radiology | 804 Service Rd # D100, East Lansing, MI 48824-7015 | 2006-05-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MICHIGAN STATE UNIVERSITY | 426 Auditorium Rd, East Lansing, MI 48824-2600 |
Virginia Business Entities | Michigan State University Alumni Club of Metropolitan Washington DC | 10511 Judicial Drive, Fairfax, Virginia 22030-5172 |
System for Award Management (SAM) Entities | MICHIGAN STATE UNIVERSITY FOUNDATION | 2727 Alliance Dr Ste C, Lansing, MI 48910-3868 |
Street Address |
4660 S HAGADORN RD STE 420 |
City | EAST LANSING |
State | MI |
Zip Code | 48823-5353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629074448 | Erich Hornbach | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2005-06-27 |
1518599356 | Msu Health Care Inc. | Nurse Practitioner | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
1396377131 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
1114366499 | Nathan James Fitton | Family Medicine | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2013-06-19 |
1215293089 | Sheeba Joseph | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823 | 2012-04-06 |
1427340256 | Jill S Moschelli | Family Medicine | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2011-05-12 |
1902819162 | Jeffrey Richard Kovan | Family Medicine | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2006-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
Find all providers in zip 48823 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891783593 | John A Sauchak | Orthopaedic Surgery | 830 W Lake Lansing Rd, #190, East Lansing, MI 48823-6371 | 2005-10-07 |
1700365244 | Edward W. Sparrow Hospital Association | Orthopaedic Surgery | 2900 Hannah Blvd Ste 212, East Lansing, MI 48823-5382 | 2018-08-07 |
1659522324 | Joseph Edward Dewitt | Orthopaedic Surgery | 4600 S Hagadorn Rd, #500, East Lansing, MI 48823-5306 | 2008-09-30 |
1881868438 | Michael D. Austin, D.o., PC | Orthopaedic Surgery | 307 W Lake Lansing Rd, East Lansing, MI 48823-1437 | 2008-04-15 |
1497963425 | Christopher Luke Wilcox | Orthopaedic Surgery | 4660 S Hagadorn Rd, Ste 420, East Lansing, MI 48823-5353 | 2007-05-21 |
1336253996 | Lawrence Walter Mysliwiec | Orthopaedic Surgery | 4660 S Hagadorn Rd, Suite 500, East Lansing, MI 48823-5376 | 2006-08-19 |
1932137304 | Kelly P Coffey | Orthopaedic Surgery | 830 W Lake Lansing Rd, Suite 190, East Lansing, MI 48823-6371 | 2006-06-28 |
1295798353 | Mid Michigan Orthopaedic Institute Pllc | Orthopaedic Surgery | 830 W Lake Lansing Rd, Suite 190, East Lansing, MI 48823-6371 | 2006-04-10 |
1174598254 | David K Michael | Orthopaedic Surgery | 830 W Lake Lansing Rd, Suite 190, East Lansing, MI 48823-6371 | 2006-02-22 |
1255306791 | David A Shneider | Orthopaedic Surgery | 830 W Lake Lansing Rd, Suite 190, East Lansing, MI 48823-6371 | 2006-02-20 |
Find all providers in EAST LANSING |
City | EAST LANSING |
Zip Code | 48823 |
Please comment or provide details below to improve the information on MICHIGAN STATE UNIVERSITY.
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.