MSU HEALTH CARE INC (NPI# 1982236956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982236956 |
| Entity Type | Organization |
| Organization Name | MSU HEALTH CARE INC |
| Practice Address |
4660 S Hagadorn Rd Ste 210 East Lansing MI 48823-5353 |
| Mailing Address |
804 Service Rd Ste A109b East Lansing MI 48824-7015 |
| Practice Telephone | 5173554205 |
| Practice Fax Number | 5173554202 |
| Mailing Telephone | 5173554205 |
| Mailing Fax Number | 5173554202 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | LISA M RUCKER (ENROLLMENT & PATIENT ACCTS MANAGER) |
| Authorized Official Telephone | 5173558462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942385570 | Msu Health Care Inc | Pharmacy | 804 Service Rd Ste A101, East Lansing, MI 48824-7015 | 2006-10-25 |
| 1316572134 | Msu Health Care Inc | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2020-03-12 |
| 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 |
| Street Address |
4660 S HAGADORN RD STE 210 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124095278 | Todd A Moyer-brailean | Obstetrics & Gynecology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2006-03-07 |
| 1619380334 | Colton C Prudnick | Urology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2014-06-10 |
| 1285803627 | William Britt Zimmerman | Urology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2008-02-28 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1568455566 | Joseph Aqualina | Urology | 6275 Mereford Ct, East Lansing, MI 48823-9213 | 2005-08-24 |
| 1134509987 | Peter Liu | Urology | 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823-5384 | 2015-06-08 |
| 1619380334 | Colton C Prudnick | Urology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2014-06-10 |
| 1235565151 | Lansing Institute of Urolgoy | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2013-09-24 |
| 1285803627 | William Britt Zimmerman | Urology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2008-02-28 |
| 1437275641 | Damon Davis | Urology | 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823-5384 | 2007-03-21 |
| 1306878269 | David Don Wartinger | Urology | 2900 Hannah Blvd, Ste 215, East Lansing, MI 48823-5384 | 2006-07-07 |
| 1679500425 | Shirley Ann Harding | Urology | 2900 Hannah Blvd, Ste 104, East Lansing, MI 48823-5384 | 2006-06-27 |
| 1619911690 | Donald P Bartkowski | Urology | 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823-5384 | 2006-06-16 |
| Find all providers in EAST LANSING | ||||
| 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.