Organization Active NPI

Nuvoair Medical PC

  • Internal Medicine Physician
  • East Lansing, MI
National Provider Identifier
1134835663
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NUVOAIR MEDICAL PC
Practice address
1760 Abbey Rd FL 2
East Lansing, MI 48823-7395
Phone
(888) 915-0624
NPI assigned
Jan 27, 2023
Organization subpart
Yes
Parent organization
NUVOAIR MEDICAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Eric J HarkerNPI 1366572109
Title
Ceo
Phone
(303) 748-5781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1760 Abbey Rd FL 2
East Lansing, MI 48823-7395

Mailing address

50 Milk St
Boston, MA 02109-5003
Phone (303) 748-5781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230606000211 MI Part B Supplier - Clinic/Group Practice 1557742368 Receives reassigned benefits from 2 practitioners
Practice locations: East Lansing, MI

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Nuvoair Medical PC6 organizations share this tax ID, including this one
Part of
Nuvoair Medical PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 Milk St
Boston, MA 02109

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1134835663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MILK ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095003",
            "telephone_number": "303-748-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 ABBEY RD FL 2",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237395",
            "telephone_number": "888-915-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVOAIR MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NUVOAIR MEDICAL PC",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "HARKER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-748-5781"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.