PETER BLAKEMORE (NPI# 1821251208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821251208 |
| Entity Type | Individual |
| Full Name | PETER BLAKEMORE |
| Credential | DO |
| Practice Address |
4660 S Hagadorn Rd Suite 500 East Lansing MI 48823-5376 |
| Mailing Address |
804 Service Rd A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5174326144 |
| Practice Fax Number | 5174326150 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2017-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 5101018477 | MI | Allopathic & Osteopathic Physicians |
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS015398 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1821251208 | 05 |
| Street Address |
4660 S HAGADORN RD SUITE 500 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168463 | Harvey Bumpers | Surgery | 4660 S Hagadorn Rd, #600, East Lansing, MI 48823-5376 | 2005-07-21 |
| 1558855262 | Kyle Lamont Allan | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2018-06-15 |
| 1942752258 | Allison Azamtarrahian | Social Worker | 4660 S Hagadorn Rd, East Lansing, MI 48823 | 2016-11-03 |
| 1831562610 | Kimberley Krummrey | Nurse Practitioner | 4660 S Hagadorn Rd, 405, East Lansing, MI 48823-5376 | 2015-11-03 |
| 1043600430 | Ashley Day | Physician Assistant | 4660 S Hagadorn Rd, #600, East Lansing, MI 48823-5376 | 2015-01-23 |
| 1447653878 | Harper Psychological Plc | Psychologist | 4660 S Hagadorn Rd, Suite 280a, East Lansing, MI 48823-5376 | 2014-09-30 |
| 1760885107 | Sara Czubak | Psychologist | 4660 S Hagadorn Rd, Suite 280a, East Lansing, MI 48823-5376 | 2014-09-30 |
| 1215341599 | Jamie Mueller-smith | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, Suite 500, East Lansing, MI 48823-5376 | 2014-06-16 |
| 1447660808 | Norton Eye Care Pllc | Optometrist | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2014-05-06 |
| 1063834869 | International Rehabilitative Sciences Inc. | Durable Medical Equipment & Medical Supplies | 4660 S Hagadorn Rd, Ste 170, East Lansing, MI 48823-5376 | 2014-01-13 |
| Find all providers in the same location | ||||
| 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 | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1154351542 | Christopher Adam Pohlod | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2006-07-03 |
| 1740803121 | Kathleen Claire Stenlund | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-05-20 |
| 1457974073 | Leah Goedecke | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-05-19 |
| 1285257824 | Amanda Leigh Robinson | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-05-18 |
| 1083246052 | Msu Health Care Inc | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-07 |
| 1437631140 | Jared Michael Ham-ying | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2018-08-30 |
| 1811482433 | Scott Michael Wilkie | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2018-06-26 |
| 1558855262 | Kyle Lamont Allan | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2018-06-15 |
| 1164942843 | Brittany Renee Breitzke | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2017-06-22 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.