BREAST CENTER OF LANSING PLLC (NPI# 1154389666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154389666 |
| Entity Type | Organization |
| Organization Name | BREAST CENTER OF LANSING PLLC |
| Practice Address |
3960 Patient Care Way Suite 109b Lansing MI 48911-4275 |
| Practice Telephone | 5177022940 |
| Mailing Telephone | 5177022940 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-11-10 |
| Authorized Official Name | DR. DAVID R ANDERSON (OWNER) |
| Authorized Official Telephone | 5177022940 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3960 PATIENT CARE WAY SUITE 109B |
| City | LANSING |
| State | MI |
| Zip Code | 48911-4275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245203645 | Ghiulser Selim | Family Medicine | 3960 Patient Care Way, Suite 108, Lansing, MI 48911-4275 | 2006-02-08 |
| 1528472008 | Tarsha Gibson | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-06-12 |
| 1407279201 | Anne Nesvacil Jones | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-01-29 |
| 1356764617 | Mary Hunter | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-01-22 |
| 1023449444 | Demarcus Evans | Social Worker | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-12-11 |
| 1982039798 | Meghan Diane Banks | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-09-11 |
| 1437591286 | T'shara Cannon | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-07-22 |
| 1902244361 | Amelia Louise Shelton | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-06-07 |
| 1154688943 | Capital Home Care, Inc. | Home Health | 3960 Patient Care Way, Suite 116, Lansing, MI 48911-4275 | 2012-04-18 |
| 1285907899 | Professional Associates In Rehabilitation LLC | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2012-02-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
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| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1225073331 | Pediatric Care of Lansing PC | Clinic/Center | 2909 E Grand Riv, Suite 109, Lansing, MI 48912-4300 | 2006-06-20 |
| 1427426402 | County of Ingham | Clinic/Center | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2015-09-09 |
| 1457744617 | Ayad M George M.d. | Clinic/Center | 740 N Waverly Rd, Lansing, MI 48917-2268 | 2015-03-12 |
| 1073922589 | County of Ingham | Clinic/Center | 500 E Thomas St, Lansing, MI 48906-6118 | 2014-08-08 |
| 1841612827 | Allergy & Asthma Specialists of Lansing, Pllc | Clinic/Center | 1100 W Saginaw St, Suite 620, Lansing, MI 48915-2033 | 2014-01-10 |
| 1316374176 | Satish Gupta Md | Clinic/Center | 1100 W Saginaw St, Suite 620, Lansing, MI 48915-2033 | 2013-10-10 |
| 1184927766 | County of Ingham | Clinic/Center | 500 E Thomas St, Lansing, MI 48906-6118 | 2010-12-21 |
| 1609024744 | Robyn D. Messing, D.o., Pllc | Clinic/Center | 2815 S Pennsylvania Ave, Suite 107, Lansing, MI 48910 | 2008-09-03 |
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| 1649839945 | Michigan Institute of Sleep Disorders Pllc | Clinic/Center | 7108 Autumn Hill Dr, West Bloomfield, MI 48323-3904 | 2019-06-10 |
| 1447715131 | Ryan Klanseck, Do | Clinic/Center | 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795 | 2019-02-06 |
| 1598242455 | Gratiot Advanced Center LLC | Clinic/Center | 7612 Gratiot Ave Ste 200, Detroit, MI 48213-2822 | 2018-07-24 |
| 1902356140 | Midmichigan Pain | Clinic/Center | 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 | 2016-10-12 |
| 1184085516 | Hester S Pernell Md Pllc | Clinic/Center | 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 | 2016-03-12 |
| 1275937625 | Innovative Anesthesia Services PC | Clinic/Center | 847 Parchment Dr Se Ste 105, Grand Rapids, MI 49546 | 2014-10-14 |
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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.