JENNIFER UITVLUGT (NPI# 1841554581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841554581 |
Entity Type | Individual |
Full Name | JENNIFER UITVLUGT |
Credential | D.O. |
Practice Address |
4660 S Hagadorn Rd Ste 600 East Lansing MI 48823-5383 |
Mailing Address |
804 Service Rd Ste A109b East Lansing MI 48824-7015 |
Practice Telephone | 5172672460 |
Practice Fax Number | 5172672462 |
Mailing Telephone | 5172672460 |
Mailing Fax Number | 5172672462 |
Enumeration Date | 2012-06-27 |
Last Update Date | 2019-09-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 5101019957 | MI | Allopathic & Osteopathic Physicians |
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
5101019957 | MI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1215 E Michigan Ave, Lansing, MI 489121811 | 5173642616 |
Street Address |
4660 S HAGADORN RD STE 600 |
City | EAST LANSING |
State | MI |
Zip Code | 48823-5383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699725895 | Michigan State University | Internal Medicine | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2006-05-11 |
1518599588 | Msu Health Care Inc | Surgery | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2020-02-07 |
1346621885 | Erik James Lickteig | Physician Assistant | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2015-06-10 |
1285074914 | Ezemonye O Madu | Radiology | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2013-06-26 |
1992045090 | Michelle Martin Southard | Plastic Surgery | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2013-02-26 |
1881892388 | Stephanie Marie-cohen Bray | Plastic Surgery | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2007-07-05 |
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 | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548600638 | Td Oweis Md Plc | Surgery | 1528 Lawndale Dr, Royal Oak, MI 48067-1158 | 2013-07-03 |
1417249442 | Victoria Lynn Sharp | Surgery | 5301 E Huron River Dr Ste 2428, Ypsilanti, MI 48197-1051 | 2011-05-10 |
1427660489 | Violet Onkoba Do Pllc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-08-20 |
1285259457 | Scott Barnes Do Plc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-06-12 |
1124642632 | Sheer Surgical Pllc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-06-01 |
1588222830 | Aaron James Tice | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2019-06-02 |
1720560055 | Kaely Shaye Schlosser | Surgery | 100 Michigan St Ne Ste 8830, Grand Rapids, MI 49503-2560 | 2018-09-04 |
1982146866 | United Trauma Care Plc | Surgery | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-11-09 |
1043627425 | Ghassan Al Ramahi | Surgery | One Hurley Plaza, 7b Floor, Trauma Service, Flint, MI 48503 | 2014-07-17 |
1861733123 | Patrick Richard Beer | Surgery | 1 Hurley Plz, Flint, MI 48503-5902 | 2013-03-12 |
Find all providers with the same taxonomy |
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.