MSU HEALTH CARE INC


Address: 804 Service Rd Ste A235, East Lansing, MI 48824-7015
Phone: 5173551300

MSU HEALTH CARE INC (NPI# 1316572134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316572134
Entity Type Organization
Organization Name MSU HEALTH CARE INC
Practice Address 804 Service Rd Ste A235
East Lansing
MI 48824-7015
Mailing Address 804 Service Rd Ste A109b
East Lansing
MI 48824-7015
Practice Telephone 5173551300
Practice Fax Number 5173551710
Enumeration Date 2020-03-12
Last Update Date 2020-03-12
Authorized Official Name LISA M RUCKER (PT ACCTS & PROVIDER ENROLLMENT)
Authorized Official Telephone 5173558462
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians
N 207QS0010X Family Medicine
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
Allopathic & Osteopathic Physicians
N 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
N 208D00000X General Practice Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
804 Service Rd Ste A142, East Lansing, MI 488247015 5173533050 5174323742

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942385570 Msu Health Care Inc Pharmacy 804 Service Rd Ste A101, East Lansing, MI 48824-7015 2006-10-25
1730715566 Msu Health Care Inc Pediatrics 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 2020-03-12
1245865328 Msu Health Care Inc Family Medicine 5091 Willoughby Rd, Holt, MI 48842-1054 2020-03-09
1003441171 Msu Health Care Inc Urology 1600 W Grand River Ave Ste 2, Okemos, MI 48864-2394 2020-03-09
1477188555 Msu Health Care Inc Pediatrics 1215 E Michigan Ave, Lansing, MI 48912-1811 2020-03-09
1285266155 Msu Health Care Inc Pediatrics 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 2020-02-10
1356973226 Msu Health Care Inc Internal Medicine 4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5386 2020-02-10
1700418670 Msu Health Care Inc Allergy & Immunology 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 2020-02-10
1508498478 Msu Health Care Inc Preventive Medicine 4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5386 2020-02-10
1194357152 Msu Health Care Inc Internal Medicine 4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5386 2020-02-07

Office Location

Street Address 804 SERVICE RD STE A235
City EAST LANSING
State MI
Zip Code 48824-7015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306134085 Jeremiah Lopez Family Medicine 804 Service Rd Ste A235, East Lansing, MI 48824-7015 2011-07-15
1184003386 Paul Mulvey Family Medicine 804 Service Rd Ste A235, East Lansing, MI 48824-7015 2015-05-21

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730740507 Hannah Finnerty Family Medicine 2852 Eyde Pkwy Ste 175, East Lansing, MI 48823-5378 2019-06-24
1588158869 Ralph A. Harvey Md, Pllc Family Medicine 1350 E Lake Lansing Rd Ste C, East Lansing, MI 48823-7413 2018-06-19
1972999365 Jennifer Renee Mccaskill Family Medicine 2900 Hannah Blvd Ste 216, East Lansing, MI 48823 2015-04-13
1124111026 Full Spectrum Family Medicine PC Family Medicine 2025 Abbot Rd, Suite 100, East Lansing, MI 48823-8573 2006-10-02
1972609683 Mary Elizabeth Thorne Family Medicine 1280 Chartwell Carriage Way North, East Lansing, MI 48823-2404 2006-09-16
1477658565 William Holding Page-echols Family Medicine 2025 Abbott Rd, Suite 100, East Lansing, MI 48823-8573 2006-09-13
1982706560 Heidi J. Johnson Family Medicine 2035 Asher Ct, Suite 200, East Lansing, MI 48823-8480 2006-09-02
1396859013 Carol Lynn Monson Family Medicine 804 Clinical Center, A235, East Lansing, MI 48824 2006-08-19
1689602971 Michael J Chamot Family Medicine 107 Olin Health Center, East Circle Dr, East Lansing, MI 48824-1037 2006-06-28
1346276144 David Todd Walsworth Family Medicine 804 Service Rd # A142, East Lansing, MI 48824-7015 2006-06-23
Find all providers in EAST LANSING

Competitor

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City EAST LANSING
Zip Code 48824

Improve Information

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Dataset Information

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.

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