Active NPI
Eaton Rapids Medical Center
- Neurological Surgery Physician
- Lansing, MI
National Provider Identifier
1093629917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- EATON RAPIDS MEDICAL CENTER
- Practice address
- 3955 Patient Care Dr
Lansing, MI 48911-4299 - Phone
- (517) 663-9403
- Fax
- (517) 663-8615
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- Yes
- Parent organization
- EATON RAPIDS MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Shaw
- Title
- Provider Enrollment & Med Staff
- Phone
- (517) 663-9446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
3955 Patient Care Dr
Lansing, MI 48911-4299
Mailing address
1500 S Main St
Eaton Rapids, MI 48827-1952
Phone (517) 663-9403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1093629917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "EATON RAPIDS",
"state": "MI",
"postal_code": "488271952",
"telephone_number": "517-663-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 PATIENT CARE DR",
"city": "LANSING",
"state": "MI",
"postal_code": "489114299",
"telephone_number": "517-663-9403",
"fax_number": "517-663-8615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EATON RAPIDS MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EATON RAPIDS MEDICAL CENTER",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT & MED STAFF",
"authorized_official_telephone_number": "517-663-9446"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
- East Lansing Orthopedic Association P C
- East Michigan Family Care PLC (East Michigan Family Care)
- Talitha P Easterly, PH.D
- Eastside Community Action Center
- Eaton Care Center, LLC (Regency at Lansing West)
- Brenda Surae Eaton, MD
- Emily Eaton, PA-C
- Theresa Ebright, RMA
- Dawn Marie Eccles, LPC
- Carin Echols, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.