Active NPI
Michael J Hafran, M.D.
- Family Medicine Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301505631
- Practice address
- 804 Service Rd Ste A225
East Lansing, MI 48824-7015 - Phone
- (517) 353-2562
- Fax
- (517) 353-2563
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301505631 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 49922 | WI |
Addresses
Primary practice location
804 Service Rd Ste A225
East Lansing, MI 48824-7015
Mailing address
3003 W Good Hope Rd
Aurora Advanced Healthcare
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Other practice location 1
3003 W Good Hope Rd
Aurora Advanced Healthcare
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI, CA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301505631 | MI | MD | Family Medicine Physician |
| 49922 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assure Health Medical Group PA | Current | Accepting new patients | |
| Msu Health Care Inc. | Past | Accepting new patients |
Locations
2105 S Bascom Ave
Ste 245
Campbell, CA 95008
Phone (561) 476-0060
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
6001 Broken Sound Pkwy NW
Ste 418
Boca Raton, FL 33487
Phone (561) 699-3866
501 E Las Olas Blvd
Fort Lauderdale, FL 33301
501 E Las Olas Blvd
Ste 200300
Ft Lauderdale, FL 33301
Phone (561) 699-3866
4500 N State Road 7
Ste 102
Lauderdale Lakes, FL 33319
Phone (301) 541-7714
382 NE 191st St
Miami, FL 33179
Phone (305) 702-0185
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCJAED/Endpoint/GCJAED
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1134838352
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1659132553
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1275165052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1003878000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 W GOOD HOPE RD",
"address_2": "AURORA ADVANCED HEALTHCARE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532092042",
"telephone_number": "414-352-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A225",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-2562",
"fax_number": "517-353-2563"
}
],
"practiceLocations": [
{
"address_1": "3003 W Good Hope Rd",
"address_2": "Aurora Advanced Healthcare",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532092042",
"country_code": "US",
"telephone_number": "414-352-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAFRAN",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301505631",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "49922",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.