Andrew James Stasevich, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013062 Issued in MI

Practice address

1650 Haslett Rd
Haslett, MI 48840-7615

Phone

(517) 339-3200

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Capital Internal Medicine Associates P.C.

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1780629832

  Family Medicine

  Medicare reassignment NPD
• Sparrow Carson Hospital

  • Internal Medicine Physician
  • Carson City, MI
  • NPI 1598490542
  Medicare reassignment NPD
• Farmington Hills Medical Center, PC

  • General Practice Physician
  • Farmington Hills, MI
  • NPI 1730128190

  Family Medicine

  NPD (past)
• Helen Lee, MD PC

  • General Practice Physician
  • Farmington Hills, MI
  • NPI 1518145747
  NPD (past)
• Michigan State University

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD (past)
• Paul N Deweese MD PLC

  • Clinic/Center
  • Haslett, MI
  • NPI 1942499553
  NPD (past)
• Vpa PC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295
  NPD (past)
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1043297955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "855-495-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488407615",
            "telephone_number": "517-339-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Service Rd room A109",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488241313",
            "country_code": "US",
            "telephone_number": "517-353-1300",
            "fax_number": "517-353-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASEVICH",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043297955",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4713355",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soulcare Integrative Counseling LLC
• Speech Therapy Associates, Inc.
• Sarah Sproull, DNP, FNP-BC
• Harriet Anne Squier, MD MA
• Alexandria Wride Starnes, M.A. CCC-SLP/L
• Brian A Stoddard, R.PH.
• Kristen Stohrer
• Christina Ann Strickler, PHYSICAL THERAPIST
• Carolyn Sykes
• Synaptic Way PLC

• Family Medicine Physician in Haslett, MI
• Providers in Haslett, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.