MICHIGAN STATE UNIVERSITY


Address: 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353
Phone: 5178846100

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 4660 S HAGADORN RD STE 420
City EAST LANSING
State MI
Zip Code 48823-5353

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City EAST LANSING
Zip Code 48823

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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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