MICHIGAN STATE UNIVERSITY (NPI# 1184182982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184182982 |
| Entity Type | Organization |
| Organization Name | MICHIGAN STATE UNIVERSITY |
| Other Organization Name | MICHIGAN STATE UNIVERSITY EXTENSION |
| Practice Address |
446 W. Circle Drive, Room 409 Justin S. Morrill Hall of Agriculture East Lansing MI 48824-1039 |
| Mailing Address |
446 W. Circle Drive, Rm 409 Justin S. Morrill Hall of Agriculture East Lansing MI 48824 |
| Practice Telephone | 5178847277 |
| Practice Fax Number | 5174327644 |
| Mailing Telephone | 5178847277 |
| Mailing Fax Number | 5174327644 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | JEFFREY W DWYER (DIRECTOR/MICHIGAN STATE UNIVERSITY) |
| Authorized Official Telephone | 5173550118 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | BOARD OF TRUSTEES OF MICHIGAN STATE UNIIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Other Name | Type Code |
|---|---|
| Michigan State University Extension | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427443274 | Michigan State University | Behavioral Analyst | 325 W Grand River Ave, East Lansing, MI 48823 | 2015-03-30 |
| 1629307251 | Michigan State University | Preventive Medicine | 346 Olin Health Ctr, East Circle Drive, East Lansing, MI 48824-1037 | 2009-12-10 |
| 1295978054 | Michigan State University | Clinical Medical Laboratory | 1355 Bogue St Rm B228, East Lansing, MI 48824-6207 | 2009-04-09 |
| 1487780565 | Michigan State University | Clinical Medical Laboratory | B228 Life Sciences Bldg, East Lansing, MI 48824 | 2007-02-26 |
| 1518046598 | Michigan State University | Clinic/Center | 804 Clinical Center, A114, East Lansing, MI 48824-1313 | 2006-11-02 |
| 1639253784 | Michigan State University | Registered Nurse | 804 Service Rd Ste A142, East Lansing, MI 48824-7015 | 2006-10-25 |
| 1962515221 | Michigan State University | Pharmacy | 463 E Circle Dr. Rm103, East Lansing, MI 48824 | 2006-08-17 |
| 1992712053 | Michigan State University | Occupational Therapist | 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823-5353 | 2006-08-02 |
| 1891747614 | Michigan State University | Radiology | 804 Service Rd # D100, East Lansing, MI 48824-7015 | 2006-05-17 |
| 1861443269 | Michigan State University | Family Medicine | 804 Service Rd # A225, East Lansing, MI 48824-7015 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MICHIGAN STATE UNIVERSITY | 426 Auditorium Rd, East Lansing, MI 48824-2600 |
| Virginia Business Entities | Michigan State University Alumni Club of Metropolitan Washington DC | 10511 Judicial Drive, Fairfax, Virginia 22030-5172 |
| System for Award Management (SAM) Entities | MICHIGAN STATE UNIVERSITY FOUNDATION | 2727 Alliance Dr Ste C, Lansing, MI 48910-3868 |
| Street Address |
446 W. CIRCLE DRIVE, ROOM 409 JUSTIN S. MORRILL HALL OF AGRICULTURE |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649825134 | Griffith Public Schools | Local Education Agency (LEA) | 5920 Enterprise Dr, Lansing, MI 48911-4109 | 2019-08-02 |
| 1679131205 | Miracle Babies | Local Education Agency (LEA) | 29364 Chelsea Xing, Farmington Hills, MI 48331-2807 | 2019-05-29 |
| 1942757661 | Parent Support, LLC | Local Education Agency (LEA) | 1442 Brush St, Suite 200, Detroit, MI 48226-2285 | 2016-09-11 |
| 1598133498 | Ingham Health Plan Corporation | Local Education Agency (LEA) | 3425 Belle Chase Way, Suite 1, Lansing, MI 48911-4252 | 2015-09-09 |
| 1861819567 | New Beginnings Mihp | Local Education Agency (LEA) | 1119 Burton St Se Ste 100, Grand Rapids, MI 49507-3367 | 2014-03-20 |
| 1316288186 | Firstplan Maternal Infant Services, LLC | Local Education Agency (LEA) | 48795 Michaywe Dr, Macomb, MI 48044-2308 | 2013-03-04 |
| 1063761575 | Diamond Management & Staffing Corporation | Local Education Agency (LEA) | 19111 W 10 Mile Rd., Suite 231, Southfield, MI 48075-2443 | 2012-08-30 |
| 1497029227 | Therapeutically Designed Inc. | Local Education Agency (LEA) | 19785 W 12 Mile Rd # 287, Southfield, MI 48076-2584 | 2012-02-24 |
| 1477862092 | Miracles for Mom's and Babes | Local Education Agency (LEA) | 31843 Kingswood Sq, Farmington Hills, MI 48334-1221 | 2010-09-30 |
| 1609028315 | Independent Medical Networks, Inc. | Local Education Agency (LEA) | 2766 11 Mile Rd Ste 5, Berkley, MI 48072-3033 | 2008-10-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
Please comment or provide details below to improve the information on MICHIGAN STATE UNIVERSITY.
| 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.