Active NPI
Joseph John Pysh, D.O.
- Neurology Physician
- East Lansing, MI
National Provider Identifier
1316035652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 5101005006
- Practice address
- A217 Clinical Ctr
East Lansing, MI 48824-1313 - Phone
- (517) 353-8122
- Fax
- (517) 432-3713
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 5101005006 | MI | Primary |
Addresses
Primary practice location
A217 Clinical Ctr
East Lansing, MI 48824-1313
Mailing address
804 Service Rd
# A109F
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750210 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101005006 | MI | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1316035652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "# A109F",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A217 CLINICAL CTR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241313",
"telephone_number": "517-353-8122",
"fax_number": "517-432-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYSH",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "5101005006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750210",
"state": "MI"
}
],
"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 Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.