DR. THOMAS W KEAVENEY (NPI# 1629410725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629410725 |
| Entity Type | Individual |
| Full Name | DR. THOMAS W KEAVENEY |
| Credential | M.D. |
| Practice Address |
1322 E Michigan Ave Suite 101 Lansing MI 48912-2199 |
| Practice Telephone | 5173643900 |
| Practice Fax Number | 5173643514 |
| Mailing Telephone | 5173643900 |
| Mailing Fax Number | 5173643514 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301060467 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1322 E MICHIGAN AVE SUITE 101 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669881 | Edward W. Sparrow Hospital Association | Family Medicine | 1322 E Michigan Ave, Suite 220, Lansing, MI 48912-2199 | 2006-05-23 |
| 1205458452 | Pavel Volkov | Physical Medicine & Rehabilitation | 1322 E Michigan Ave, Lansing, MI 48912-2199 | 2020-05-11 |
| 1851659064 | Brandy Lynne Shattuck | Pathology | 1322 E Michigan Ave, Lansing, MI 48912-2199 | 2012-04-25 |
| 1396076691 | Edward W. Sparrow Hospital | Taxi | 1322 E Michigan Ave, Suite 220, Lansing, MI 48912-2199 | 2010-01-26 |
| 1760610455 | Joyce Dejong | Pathology | 1322 E Michigan Ave, Suite 118, Lansing, MI 48912-2199 | 2009-07-01 |
| 1225265754 | Susrap Song | Obstetrics & Gynecology | 1322 E Michigan Ave, Lansing, MI 48912-2199 | 2009-06-11 |
| 1861639791 | John Michael Clarkson | General Practice | 1322 E Michigan Ave, Suite 101, Lansing, MI 48912-2199 | 2009-01-14 |
| 1770750325 | Stayner Haller | Dentist | 1322 E Michigan Ave, Sparrow Medical Arts Builing Suite 302, Lansing, MI 48912-2176 | 2008-05-13 |
| 1841479052 | Jennifer Hawkins | Obstetrics & Gynecology | 1322 E Michigan Ave, Suite 220, Lansing, MI 48912-2199 | 2007-10-24 |
| 1447470497 | Lynn Marie Laitinen Kloss | Preventive Medicine | 1322 E Michigan Ave, Suite 101, Lansing, MI 48912-2199 | 2007-05-01 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760805352 | Stephanie Grondahl | General Practice | 1200 E Michigan Ave Ste 460, Lansing, MI 48912-1897 | 2014-02-02 |
| 1730235862 | John Crisler | General Practice | 320 W Ottawa St, Lansing, MI 48933-1590 | 2007-01-25 |
| 1093800716 | Arden B Andersen | General Practice | 712 1st Ter Ste 205, Lansing, KS 66043-1735 | 2006-10-04 |
| 1699874701 | Medical Ambulatory Services for Health PC | General Practice | 1107 E Miller Rd, Lansing, MI 48911-5312 | 2006-09-22 |
| 1285733378 | Medical Ambulatory Services for Health PC | General Practice | 6130 W Saginaw Hwy, Lansing, MI 48917-2465 | 2006-09-22 |
| 1477594786 | Margaret Ijeoma Aguwa | General Practice | 2929 Coventing Court, Lansing, MI 48912 | 2006-06-09 |
| 1659339570 | Leland Robert Mcelmurry | General Practice | 1601 E Michigan Ave, Lansing, MI 48912 | 2006-05-02 |
| 1023005659 | Harold Franklin Roth | General Practice | 1627 Lake Lansing Rd, Suite 200, Lansing, MI 48912-3788 | 2005-09-29 |
| 1861639791 | John Michael Clarkson | General Practice | 1322 E Michigan Ave, Suite 101, Lansing, MI 48912-2199 | 2009-01-14 |
| 1023202454 | Lansing Family Physicians PC | General Practice | 4202 Collins Rd, Suite 115, Lansing, MI 48910-5894 | 2007-08-29 |
| 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.