| University Of Michigan Health-sparrow Lansing Internal Medicine | |
|
1200 E Michigan Ave Suite 500 Lansing MI 48912-1800 | |
| (517) 364-5123 | |
| (517) 364-5124 |
| Full Name | University Of Michigan Health-sparrow Lansing Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 E Michigan Ave, Lansing, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Michigan Health-sparrow Lansing Internal Medicine 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 253-6320 | University Of Michigan Health-sparrow Lansing Internal Medicine 1200 E Michigan Ave Suite 500 Lansing MI 48912-1800 Ph: (517) 364-5123 |
| NPI Number | 1043562465 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 6709799166 |
|---|---|
| Medicare Enrollment ID | O20130503000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043562465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Susan Caldwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295830792 PECOS PAC ID: 7911096813 Enrollment ID: I20071129000577 |
| Provider Name | John C Siano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689628067 PECOS PAC ID: 6002895950 Enrollment ID: I20081006000255 |
| Provider Name | Bo Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336193705 PECOS PAC ID: 8123196045 Enrollment ID: I20081006000303 |
| Provider Name | David W Luginbill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275598971 PECOS PAC ID: 9032263702 Enrollment ID: I20090814000043 |
| Provider Name | Wendy L King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508833724 PECOS PAC ID: 2668516766 Enrollment ID: I20100212000233 |
| Provider Name | Christie Herrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891853883 PECOS PAC ID: 9537358825 Enrollment ID: I20110119000101 |
| Provider Name | Kenneth John Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679665319 PECOS PAC ID: 2365616141 Enrollment ID: I20111111000587 |
| Provider Name | Grace B Kulhanek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295858553 PECOS PAC ID: 4981862604 Enrollment ID: I20120225000129 |
| Provider Name | Mary E Boudreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730523598 PECOS PAC ID: 4183854672 Enrollment ID: I20140228001793 |
| Provider Name | Jacqueline S Urban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013320449 PECOS PAC ID: 5496970998 Enrollment ID: I20140625000921 |
| Provider Name | Fatima Sultan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790001816 PECOS PAC ID: 8426270307 Enrollment ID: I20141107002019 |
| Provider Name | Lavonna Lynnsilee Alvera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124404793 PECOS PAC ID: 4183927015 Enrollment ID: I20160126002132 |
| Provider Name | Chelsea R Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831565886 PECOS PAC ID: 2769788322 Enrollment ID: I20160308000396 |
| Provider Name | Jawad Vaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750600029 PECOS PAC ID: 4880828193 Enrollment ID: I20160808001901 |
| Provider Name | Madalina Opreanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477813400 PECOS PAC ID: 4880909704 Enrollment ID: I20160916001896 |
| Provider Name | Sarah T Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275034209 PECOS PAC ID: 6901169689 Enrollment ID: I20180410002849 |
| Provider Name | Angelica Michelle Manzur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235493545 PECOS PAC ID: 1759692270 Enrollment ID: I20200728001323 |
| Provider Name | Brittany Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902385743 PECOS PAC ID: 4789097825 Enrollment ID: I20210108000683 |
| Provider Name | Gustavo F Tataje Rengifo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033601489 PECOS PAC ID: 8921401001 Enrollment ID: I20210727002539 |
Well Child Health Center Of Ingham County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 E Mount Hope Ave, Upper Level, Lansing, MI 48910 Phone: 517-267-3400 Fax: 517-372-9188 | |
Mi Post Acute Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Armstrong Rd, Lansing, MI 48911 Phone: 800-411-6768 | |
Lansing Family Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4202 Collins Rd, Suite 115, Lansing, MI 48910 Phone: 517-484-4520 Fax: 517-484-3930 | |
University Of Michigan Health-sparrow Westshire Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7335 Westshire Dr, Suite 100, Lansing, MI 48917 Phone: 517-622-2788 Fax: 517-622-0460 | |
Ingham County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5303 S Cedar St, Lansing, MI 48911 Phone: 517-887-4311 | |
Willow Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 W Willow St, Lansing, MI 48906 Phone: 517-702-3500 Fax: 517-484-5169 |