DR. MICHAEL BRADLEY SHINGLES (NPI# 1164466223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164466223 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRADLEY SHINGLES |
| Credential | D.O. |
| Practice Address |
4660 S Hagadorn Rd Suite 420 East Lansing MI 48823-5376 |
| Mailing Address |
804 Service Rd # A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5178846100 |
| Practice Fax Number | 5178846233 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
5101012993 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1164466223 | 05 | |
| MI | 4322272 | 05 |
| Street Address |
4660 S HAGADORN RD SUITE 420 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168463 | Harvey Bumpers | Surgery | 4660 S Hagadorn Rd, #600, East Lansing, MI 48823-5376 | 2005-07-21 |
| 1558855262 | Kyle Lamont Allan | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2018-06-15 |
| 1942752258 | Allison Azamtarrahian | Social Worker | 4660 S Hagadorn Rd, East Lansing, MI 48823 | 2016-11-03 |
| 1831562610 | Kimberley Krummrey | Nurse Practitioner | 4660 S Hagadorn Rd, 405, East Lansing, MI 48823-5376 | 2015-11-03 |
| 1043600430 | Ashley Day | Physician Assistant | 4660 S Hagadorn Rd, #600, East Lansing, MI 48823-5376 | 2015-01-23 |
| 1447653878 | Harper Psychological Plc | Psychologist | 4660 S Hagadorn Rd, Suite 280a, East Lansing, MI 48823-5376 | 2014-09-30 |
| 1760885107 | Sara Czubak | Psychologist | 4660 S Hagadorn Rd, Suite 280a, East Lansing, MI 48823-5376 | 2014-09-30 |
| 1215341599 | Jamie Mueller-smith | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, Suite 500, East Lansing, MI 48823-5376 | 2014-06-16 |
| 1447660808 | Norton Eye Care Pllc | Optometrist | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2014-05-06 |
| 1063834869 | International Rehabilitative Sciences Inc. | Durable Medical Equipment & Medical Supplies | 4660 S Hagadorn Rd, Ste 170, East Lansing, MI 48823-5376 | 2014-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377131 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
| 1215293089 | Sheeba Joseph | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823 | 2012-04-06 |
| 1356368435 | Andrew Jason Schorfhaar | Orthopaedic Surgery | 4660 S Hagadorn Rd, Suite 420, East Lansing, MI 48823-5376 | 2006-07-16 |
| 1912934761 | Douglas Paul Dietzel | Orthopaedic Surgery | 4660 S Hagadorn Rd, Suite 420, East Lansing, MI 48823-5376 | 2006-06-27 |
| 1033160502 | Julie Ann Dodds | Orthopaedic Surgery | 2900 Hannah Blvd, Ste 212, East Lansing, MI 48823-5384 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1689871576 | Stacy Ann Frye | Orthopaedic Surgery | 3960 Patient Care Dr Ste 113, Lansing, MI 48911-4279 | 2007-07-02 |
| 1215075106 | Carl Henry Wierks | Orthopaedic Surgery | 1000 E Paris Ave Se Ste 215, Grand Rapids, MI 49546-3680 | 2007-02-02 |
| 1003909524 | Mfb Professional Services Inc | Orthopaedic Surgery | 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 | 2006-10-02 |
| 1598878266 | Abdallah Simaika | Orthopaedic Surgery | 2797 Applegate Rd, Po Box 55, Applegate, MI 48401-9752 | 2006-08-16 |
| 1689662405 | Richard M Howell | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2005-10-06 |
| 1235121138 | Steven T Plomaritis | Orthopaedic Surgery | 28001 Schoenherr Rd, Suite 3, Warren, MI 48088-4396 | 2005-08-17 |
| 1457961716 | Justin Michael Schupbach | Orthopaedic Surgery | 24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, MI 48105-9484 | 2020-08-03 |
| 1053945923 | Pure Performance Orthopedics & Sports Medicine | Orthopaedic Surgery | 27207 Lahser Rd Ste 108, Southfield, MI 48034-2168 | 2020-02-28 |
| 1477011591 | Shannon Elizabeth Manno | Orthopaedic Surgery | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2019-03-07 |
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| City | EAST LANSING |
| Zip Code | 48823 |
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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.