JOHN DAVID TEGTMEIER (NPI# 1285922625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285922625 |
| Entity Type | Individual |
| Full Name | JOHN DAVID TEGTMEIER |
| Credential | D.O. |
| Practice Address |
4660 S Hagadorn Rd Ste 520 East Lansing MI 48823-6804 |
| Mailing Address |
804 Service Rd # A109f East Lansing MI 48824-7015 |
| Practice Telephone | 5178848701 |
| Practice Fax Number | 5178848787 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
5101019499 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1285922625 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4660 S Hagadorn Rd Ste 500, East Lansing, MI 488236804 | 5174326144 | 5174326150 |
| 1200 E Michigan Ave Ste 520, Lansing, MI 489121899 | 5173645260 | 5173645251 |
| Street Address |
4660 S HAGADORN RD STE 520 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-6804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194714691 | Ryan C O'connor | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2005-10-18 |
| 1477185429 | Msu Health Care Inc. | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2020-02-07 |
| 1376956797 | Millicent Schratz | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2014-06-03 |
| 1174942817 | Adam Cary Hull | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2014-04-09 |
| 1962843813 | John William Hawkins | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2013-07-08 |
| 1356662332 | Mathew Reza Saffarian | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2010-06-14 |
| 1861628430 | Nathan Clyde Condie | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2009-06-09 |
| 1154522472 | Archana Bhatt | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2007-05-31 |
| 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 | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417071507 | Tony Boggess | Physical Medicine & Rehabilitation | 1310 S. Main Street, Ann Arbor, MI 48104 | 2007-03-16 |
| 1669984985 | Susan Athey | Physical Medicine & Rehabilitation | 1971 E Beltline Ave Ne, Grand Rapids, MI 49525-7045 | 2017-10-26 |
| 1962931261 | Total Pain Care and Rehabilitation, Plc | Physical Medicine & Rehabilitation | 20870 Mack Ave, Grosse Pointe Woods, MI 48236-1388 | 2017-06-08 |
| 1225290349 | Regents of The University of Michigan | Physical Medicine & Rehabilitation | 8001 Challis Rd, Brighton, MI 48116-7446 | 2008-06-30 |
| 1225001746 | Mark J Brennan | Physical Medicine & Rehabilitation | 43650 Garfield Rd, Clinton Township, MI 48038-7419 | 2006-02-08 |
| 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.