DR. LAWRENCE GERARD NASSAR (NPI# 1912011594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912011594 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE GERARD NASSAR |
| Credential | D.O. |
| Practice Address |
4660 S Hagadorn Rd Suite 420 East Lansing MI 48823-5376 |
| Mailing Address |
4660 S. Hagadorn Road Suite 420 East Lansing MI 48823 |
| Practice Telephone | 5178846100 |
| Practice Fax Number | 5178846233 |
| Mailing Telephone | 5178846100 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
5101012213 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5112213 | 05 |
| Street Address |
4660 S HAGADORN RD SUITE 420 |
| 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 |
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| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427340256 | Jill S Moschelli | Family Medicine | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2011-05-12 |
| 1699858431 | Michigan State University | Family Medicine | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2006-10-23 |
| 1619071115 | Stacy Suzanne Bull | Family Medicine | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413236 | Sports and Regenerative Medicine Pllc | Family Medicine | 526 W Genesee St Ste 3, Frankenmuth, MI 48734-1357 | 2018-04-05 |
| 1982138442 | Stephen Michael Spadafore | Family Medicine | 2951 Earhart Rd, Ann Arbor, MI 48105-9728 | 2017-04-11 |
| 1447606801 | Central Michigan University | Family Medicine | Cmu Sports Medicine, Rose 100, Mt Pleasant, MI 48859-0001 | 2016-05-04 |
| 1962808162 | Mclaren Greater Lansing | Family Medicine | 2479 Woodlake Cir, Suite 340, Okemos, MI 48864 | 2014-11-15 |
| 1306080213 | Caroline E Beall | Family Medicine | 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 | 2009-04-22 |
| 1104038629 | Robert Edward Poley | Family Medicine | 15959 Hall Rd Ste 405, Macomb, MI 48044 | 2007-05-04 |
| 1063563187 | Lee Stephen Fruman | Family Medicine | 24670 S Cromwell Dr, Franklin, MI 48025-1644 | 2007-01-15 |
| 1366505802 | Sports Medicine Associates,plc | Family Medicine | 3121 University Dr, Ste 140, Auburn Hills, MI 48326-2385 | 2006-12-18 |
| 1538220561 | Thomas K Jamieson | Family Medicine | 2720 Pleasant Grove Rd, Lansing, MI 48910-2410 | 2006-12-13 |
| 1366550105 | D-care PC | Family Medicine | 25932 Dequindre Rd, Suite C, Warren, MI 48091-1071 | 2006-08-29 |
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| 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.