MICHAEL P. BUETOW (NPI# 1568490837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568490837 |
| Entity Type | Individual |
| Full Name | MICHAEL P. BUETOW |
| Credential | M.D. |
| Practice Address |
1215 E Michigan Ave Lansing MI 48912-1811 |
| Mailing Address |
3264 N Evergreen Dr Ne Grand Rapids MI 49525-9746 |
| Practice Telephone | 5173642315 |
| Practice Fax Number | 5173721617 |
| Mailing Telephone | 6163637339 |
| Mailing Fax Number | 6163615828 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2009-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301066029 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4105931 | 05 | |
| MI | PHP | 1600248 | 01 |
| MI | BCBS MI INDIVIDUAL PIN | 3003302431 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275090243 | Michael J Buetow | Nurse's Aide | 702 Sunset Dr, Ontario, OR 97914-3121 | 2019-02-26 |
| Street Address |
1215 E MICHIGAN AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869108 | Sparrow Specialty Hospital | General Acute Care Hospital | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2005-05-27 |
| 1447850136 | Jennifer Vincent | Clinical Nurse Specialist | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-10-30 |
| 1518564632 | Amanda Elaine Hazen | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-10-01 |
| 1629682026 | Akhil Sharma | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-09-02 |
| 1134733850 | Katie Lukovich | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-09-01 |
| 1316550874 | Joshua Wissner | Nurse Anesthetist, Certified Registered | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-08-25 |
| 1174133615 | Si Yuan Khor | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-07 |
| 1487264677 | Majid Yavari | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-03 |
| 1124638531 | Anurut Huntrakul | Student in an Organized Health Care Education/Training Program | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-01 |
| 1720697626 | Mohammad Fahad Salam | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104857762 | James H. Deering | Radiology | 1540 Lake Lansing Rd Ste 107, Lansing, MI 48912-3757 | 2006-07-05 |
| 1003805904 | Robert J Wolf | Radiology | 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 | 2005-10-14 |
| 1164798286 | Aaron Matthew Vandreel | Radiology | 401 W Greenlawn Ave, Lansing, MI 48910 | 2012-03-23 |
| 1548450547 | Sherry Aujla | Radiology | 1215 E Michigan Ave, Sparrow Health System, Lansing, MI 48912-1811 | 2007-07-26 |
| 1417172875 | Robert Bruce Hills | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2007-04-13 |
| 1245248061 | Ingham Radiology Associates, PC | Radiology | 2909 E Grand River Ave, Suite 102, Lansing, MI 48912-4300 | 2006-08-04 |
| 1982632451 | Stephen D. Chapman | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-30 |
| 1407884604 | Woon-man Chung | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1427086693 | Kenneth E. Thorp | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1386671188 | Tricia A. Byrd | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-27 |
| Find all providers in LANSING | ||||
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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.