MICHIGAN STATE UNIVERSITY NPI 1851470744

NPI Information

NPI: 1851470744
Provider Name: MICHIGAN STATE UNIVERSITY
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
804 SERVICE RD
STE A217
EAST LANSING, MI
ZIP 48824
Phone: (517) 353-8122
Get Directions

MICHIGAN STATE UNIVERSITY is a family medicine in East Lansing, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MICHIGAN STATE UNIVERSITY NPI is 1851470744. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

804 SERVICE RD
STE A217
EAST LANSING, MI
ZIP 48824-015
Phone: (517) 353-8122
Fax: (517) 432-3928

The provider's authorized official is Lisa M Rucker .
The authorized official title is Enrollment & Patient Accts Manager and has the following contact phone number (517) 355-8462.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 4/5/2018.

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	Primary
1	207Q00000X	Family Medicine		Yes
2	207QG0300X	Family Medicine	Geriatric Medicine	No
3	207QS0010X	Family Medicine	Sports Medicine	No
4	207R00000X	Internal Medicine		No
5	207RG0100X	Internal Medicine	Gastroenterology	No
6	207RI0200X	Internal Medicine	Infectious Disease	No
7	207RP1001X	Internal Medicine	Pulmonary Disease	No
8	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	No
9	2084N0400X	Psychiatry & Neurology	Neurology	No
10	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	No
11	208D00000X	General Practice		No

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

NPI Synchronization or Removal

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