Organization Active NPI

Marilyn Viera MSW DO PLC

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1184734576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101011017 Issued in MI
Legal business name
MARILYN VIERA MSW DO PLC
Practice address
1515 Lake Lansing Rd
Suite C-1
Lansing, MI 48912-3753
Phone
(517) 482-8735
Fax
(517) 482-8744
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mailyn Viera, MSW DO
Title
Owner
Phone
(517) 482-8735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101011017 MI Primary

Addresses

Primary practice location

1515 Lake Lansing Rd
Suite C-1
Lansing, MI 48912-3753

Mailing address

1515 Lake Lansing Rd
Suite C-1
Lansing, MI 48912-3753
Phone (517) 482-8735

Other identifiers 1

IdentifierTypeStateIssuer
0853302285OtherMIBCBS OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

1515 Lake Lansing Rd
Ste C1
Lansing, MI 48912
Phone (517) 332-2221

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184734576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "address_2": "SUITE C-1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123753",
            "telephone_number": "517-482-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "address_2": "SUITE C-1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123753",
            "telephone_number": "517-482-8735",
            "fax_number": "517-482-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN VIERA MSW DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIERA",
        "authorized_official_first_name": "MAILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-482-8735",
        "authorized_official_credential": "MSW DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0853302285",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.