MID-MICHIGAN PODIATRY, PC (NPI# 1023282373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023282373 |
| Entity Type | Organization |
| Organization Name | MID-MICHIGAN PODIATRY, PC |
| Practice Address |
1540 Lake Lansing Rd Suite 102 Lansing MI 48912-3756 |
| Mailing Address |
3520 Okemos Rd Ste 6 Pmb 115 Okemos MI 48864-5943 |
| Practice Telephone | 5179133855 |
| Practice Fax Number | 5179134020 |
| Mailing Telephone | 5179133855 |
| Mailing Fax Number | 5179134020 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-12-02 |
| Authorized Official Name | DR. INGRID M STINES (PRESIDENT) |
| Authorized Official Telephone | 5179133855 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901001340 | MI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1540 LAKE LANSING RD SUITE 102 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003805904 | Robert J Wolf | Radiology | 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 | 2005-10-14 |
| 1215303383 | Kimberly Naert | Registered Nurse | 1540 Lake Lansing Rd, Ste. G05, Lansing, MI 48912-3756 | 2015-08-12 |
| 1033513148 | Edward W Sparrow Hospital Association | Obstetrics & Gynecology | 1540 Lake Lansing Rd, Suite 205, Lansing, MI 48912-3756 | 2014-10-17 |
| 1730519109 | Mary Kosman | Nurse Practitioner | 1540 Lake Lansing Rd, Ste G06, Lansing, MI 48912-3756 | 2013-11-20 |
| 1851735153 | Megan Quinn Thompson | Registered Nurse | 1540 Lake Lansing Rd, Suite 201, Lansing, MI 48912-3756 | 2013-04-18 |
| 1275886392 | Catherine Jo Johnson | Registered Nurse | 1540 Lake Lansing Rd, Lansing, MI 48912-3756 | 2012-10-26 |
| 1861745333 | Ronel Claassens | Occupational Therapist | 1540 Lake Lansing Rd, Suite G-01, Lansing, MI 48912-3756 | 2012-10-22 |
| 1275820300 | Firas Mohammad Riyazuddin | Internal Medicine | 1540 Lake Lansing Rd, Suite 102, Lansing, MI 48912-3756 | 2011-07-10 |
| 1538450226 | Celina Ann Kirsch | Physician Assistant | 1540 Lake Lansing Rd, Suite 103, Lansing, MI 48912-3756 | 2011-04-28 |
| 1356630099 | Malani Marie Gupta | Anesthesiology | 1540 Lake Lansing Rd, Suite G06, Lansing, MI 48912-3756 | 2011-04-04 |
| Find all providers in the same location | ||||
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881044048 | Sarah Hilton | Podiatrist | 912 Centennial Way Ste 380, Lansing, MI 48917-8246 | 2016-06-20 |
| 1558530055 | Armand R. Gasbarro, Dpm | Podiatrist | 3350 Ridge Rd, Lansing, IL 60438-3112 | 2008-02-28 |
| 1083801385 | 7stines Podiatry Center,pc | Podiatrist | 701 Snow Rd, Suite C, Lansing, MI 48917-4087 | 2007-10-01 |
| 1679652283 | Brian Spencer Goosen | Podiatrist | 3802 W Kalamazoo St, Lansing, MI 48917-3653 | 2006-11-03 |
| 1669575254 | Armand Ralph Gasbarro | Podiatrist | 3350 Ridge Road, Lansing, IL 60438 | 2006-09-07 |
| 1114983723 | John Kersey Throckmorton | Podiatrist | 3390 East Jolly Rd, Lansing, MI 48910 | 2006-04-22 |
| 1114300530 | Foremost Podiatry, P.C. | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2015-07-02 |
| 1427475607 | Jonathon M Rayman | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2014-03-25 |
| 1487893533 | Matthew Karl Wolfgang Thomson | Podiatrist | 3390 E Jolly Rd, Lansing, MI 48910-8547 | 2009-02-12 |
| 1104099746 | Comprehensive Foot Centers | Podiatrist | 1004 Progress Dr, Suite 180, Lansing, KS 66043-6326 | 2008-04-03 |
| Find all providers in LANSING | ||||
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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.