DOUGLAS F WACKER (NPI# 1851332712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851332712 |
| Entity Type | Individual |
| Full Name | DOUGLAS F WACKER |
| Credential | MD |
| Practice Address |
1323 E Michigan Ave Lansing MI 48912-2104 |
| Practice Telephone | 5174849788 |
| Mailing Telephone | 5174849788 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
DW027325 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 0403311661 | 01 |
| MI | PHP | 200000000966 | 01 |
| Street Address |
1323 E MICHIGAN AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48912-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235152331 | Environmental Medicine, Pllc | Clinic/Center | 1323 E Michigan Ave, Lansing, MI 48912-2104 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588616650 | Ali F Mafee | Otolaryngology | 33330 Palmer Rd, Westland, MI 48186-5529 | 2006-05-17 |
| 1316901739 | Gerald L Gilroy | Otolaryngology | 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823-8472 | 2006-04-13 |
| 1033198502 | James T. Bishop, M.d., P.C. | Otolaryngology | 844 S Washington Ave, Ste 1800, Holland, MI 49423-7186 | 2006-01-12 |
| 1922001791 | James Tegart Bishop | Otolaryngology | 388 Garden Ave, Ste 100, Holland, MI 49424-7186 | 2005-05-24 |
| 1598980773 | Paul Henri Belanger | Otolaryngology | 268 Seminole Rd, Norton Shores, MI 49444-3733 | 2007-04-14 |
| 1235250978 | Gerald L Gilroy Do PC | Otolaryngology | 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823-8472 | 2007-04-02 |
| 1609939743 | Jeffrey Scott Milewski | Otolaryngology | 2551 Mcleod Dr S, Saginaw, MI 48604-2827 | 2006-12-19 |
| 1295828358 | Andrew I. Dzul | Otolaryngology | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2006-10-02 |
Please comment or provide details below to improve the information on DOUGLAS F WACKER.
| 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.