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MICHIGAN STATE UNIVERSITY NPI 1326121179


NPI Information

NPI: 1326121179
Provider Name: MICHIGAN STATE UNIVERSITY
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1600 W GRAND RIVER AVE
STE 2
OKEMOS, MI
ZIP 48864
Phone: (517) 349-6560
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MICHIGAN STATE UNIVERSITY is a pediatrics in Okemos, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MICHIGAN STATE UNIVERSITY NPI is 1326121179. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 W GRAND RIVER AVE
STE 2
OKEMOS, MI
ZIP 48864-394
Phone: (517) 349-6560
Fax: (517) 348-5796

The provider's authorized official is Relanda Price .
The authorized official title is Lead Enrollment Coordinator and has the following contact phone number (517) 884-2976.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery5101019945MICHIGANNo
22080P0208XPediatricsPediatric Infectious DiseasesNo
3208100000XPhysical Medicine & RehabilitationNo
42081P2900XPhysical Medicine & RehabilitationPain MedicineNo
5208800000XUrologyNo
62088P0231XUrologyPediatric UrologyNo
7103T00000XPsychologistNo
8204D00000XNeuromusculoskeletal Medicine & OMMNo
9207Q00000XFamily MedicineNo
10207SG0201XMedical GeneticsClinical Genetics (M.D.)5101011076MICHIGANNo
11207SG0201XMedical GeneticsClinical Genetics (M.D.)No
12208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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