MICHELLE M HAFNER (NPI# 1780834069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780834069 |
| Entity Type | Individual |
| Full Name | MICHELLE M HAFNER |
| Credential | PA |
| Practice Address |
463 East Circle Drive East Lansing MI 48824-1037 |
| Mailing Address |
804 Service Rd A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5178846546 |
| Practice Fax Number | 5174329460 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005373 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1780834069 | 05 | |
| MI | BCBSM | 1152310670 | 01 |
| Street Address |
463 EAST CIRCLE DRIVE |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942300660 | Lydia A Huber | Physician Assistant | 463 East Circle Drive, East Lansing, MI 48824-1037 | 2006-09-23 |
| 1821310921 | Cara Teresa Ludlow | Counselor | 463 East Circle Drive, Room 102, East Lansing, MI 48824-1037 | 2010-02-17 |
| 1528227709 | Rebecca Marie Smith | Psychiatry & Neurology | 463 East Circle Drive, East Lansing, MI 48824-1037 | 2008-06-03 |
| 1609083732 | Swapna Hingwe | Psychiatry & Neurology | 463 East Circle Drive, Olin Health Center, East Lansing, MI 48824-1037 | 2007-05-17 |
| 1992884886 | Michigan State University | Clinic/Center | 463 East Circle Drive, Rm B35, East Lansing, MI 48824-1037 | 2006-11-03 |
| 1750462511 | Sara Lynn Kiefer | Nurse Practitioner | 463 East Circle Drive, East Lansing, MI 48824-1037 | 2006-10-18 |
| 1336229285 | James W Cowan | Physician Assistant | 463 East Circle Drive, East Lansing, MI 48824-1037 | 2006-10-16 |
| 1720175466 | Richard D Kustasz | Family Medicine | 463 East Circle Drive, East Lansing, MI 48824-1037 | 2006-10-06 |
| 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 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346739224 | Brian James Tsacoumangos | Physician Assistant | 2900 Hannah Blvd Ste 114, East Lansing, MI 48823-5380 | 2018-05-06 |
| 1831438852 | Helen Lynette Biery | Physician Assistant | 2025 Abbot Rd Ste 100, East Lansing, MI 48823-8573 | 2013-02-12 |
| 1053402446 | Mary Elizabeth Turner | Physician Assistant | 6110 Abbott Rd, East Lansing, MI 48823-1410 | 2006-09-28 |
| 1932188638 | Joshua David Feller | Physician Assistant | 2852 Eyde Pkwy, Ste 175, East Lansing, MI 48823-5378 | 2006-01-11 |
| 1619370160 | Jordan L Olesnavich | Physician Assistant | 830 W Lake Lansing Rd Ste 190, East Lansing, MI 48823-6371 | 2014-09-29 |
| 1508127952 | Sara M Wilchowski | Physician Assistant | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2012-06-01 |
| 1740565704 | Melani Ann Reaume | Physician Assistant | 411 W Lake Lansing Rd, Suite C 120, East Lansing, MI 48823-8445 | 2011-10-20 |
| 1326286675 | Michael C Kennerly | Physician Assistant | 3496 E Lake Lansing Rd, Suite 100, East Lansing, MI 48823-2288 | 2009-01-24 |
| 1558508283 | Judith E Daoust | Physician Assistant | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2009-01-16 |
| 1821233024 | Tara N Sadonis | Physician Assistant | 2852 Eyde Pkwy, Suite 175, East Lansing, MI 48823-5378 | 2008-12-03 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
Please comment or provide details below to improve the information on MICHELLE M HAFNER.
| 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.