DR. EDMOND J. DUCOMMUN (NPI# 1093767816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093767816 |
| Entity Type | Individual |
| Full Name | DR. EDMOND J. DUCOMMUN |
| Credential | M.D. |
| Practice Address |
1540 Lake Lansing Rd Ste 101 Lansing MI 48912-3707 |
| Practice Telephone | 5179133810 |
| Practice Fax Number | 5179133811 |
| Mailing Telephone | 5179133810 |
| Mailing Fax Number | 5179133811 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 4301059003 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN HEALTH PLAN-MEDICAID | 1010729 | 01 |
| MI | PHP FAMILYCARE | 200000001909 | 01 |
| MI | 4541831 | 05 | |
| MI | RAILROAD MEDICARE | P00464732 | 01 |
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 0250331789 | 01 |
| MI | 4848089 | 05 | |
| MI | MCLAREN HEALTH PLAN-COMMERCIAL | 1010729 | 01 |
| MI | PHP | 200000001909 | 01 |
| MI | AETNA | 4594007 | 01 |
| MI | MEDICARE PLUS BLUE | 0M214400029 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1010729 | 01 |
| Street Address |
1540 LAKE LANSING RD STE 101 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-3707 |
| 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 |
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| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174690523 | Jim Roland Sylvain | Physical Medicine & Rehabilitation | 1200 East Michigan Ave Ste 520, Lansing, MI 48912-1837 | 2006-11-29 |
| 1407944747 | Lawrence Lee Prokop | Physical Medicine & Rehabilitation | 2815 South Pennsylvania Ave, Suite 2, Lansing, MI 48910 | 2006-10-11 |
| 1386749604 | James Joseph Rechtien | Physical Medicine & Rehabilitation | 1200 E Michigan Avenue, Suite 420, Lansing, MI 48912 | 2006-09-13 |
| 1952345910 | Michael Thomas Andary | Physical Medicine & Rehabilitation | 1200 E Michigan Ave Ste 520, Lansing, MI 48912-1899 | 2006-06-16 |
| 1861014441 | Kara Ashley Archambault | Physical Medicine & Rehabilitation | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-05-17 |
| 1851913420 | Joshua Adam Gage | Physical Medicine & Rehabilitation | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-05-17 |
| 1205458452 | Pavel Volkov | Physical Medicine & Rehabilitation | 1322 E Michigan Ave, Lansing, MI 48912-2199 | 2020-05-11 |
| 1801389143 | Eric Kendall | Physical Medicine & Rehabilitation | 7402 Westshire Dr Ste 105, Lansing, MI 48917-8687 | 2018-06-12 |
| 1346778289 | Jonathan Morgan | Physical Medicine & Rehabilitation | 7402 Westshire Dr Ste 105, Lansing, MI 48917-8687 | 2017-05-23 |
| 1437684008 | Alexander James Carrese | Physical Medicine & Rehabilitation | 1200 E Michigan Ave, Suite 520, Lansing, MI 48912-1800 | 2017-04-20 |
| 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.