Mid Michigan Surgeons PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MID MICHIGAN SURGEONS PC

Practice address

1675 Watertower Place
Suite 100
East Lansing, MI 48823

Phone

(517) 332-0200

Fax

(517) 332-0963

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

David E Hagan, MD

Title

President Owner

Phone

(517) 332-0200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1316015597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 WATERTOWER PLACE",
            "address_2": "SUITE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-332-0200",
            "fax_number": "517-332-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WATERTOWER PLACE",
            "address_2": "SUITE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-332-0200",
            "fax_number": "517-332-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "517-332-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "G04746",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OC310610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid Michigan Ear Nose & Throat, P.C.
• Mid Michigan Ear Nose and Throat PC
• Mid Michigan Oral Surgery PC
• Mid Michigan Orthopaedic Institute PLLC
• Mid Michigan Retina PLC
• Mid Michigan Therapy Group
• Mid South Substance Abuse Commission
• Mid-Michigan Home Care Agency LLC
• Mid-Michigan Podiatry PLLC
• Shannon Migendt

• Surgery Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.