Red Cedar Podiatry PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

RED CEDAR PODIATRY PC

Practice address

3937 Patient Care Dr
Ste 104
Lansing, MI 48911-4891

Phone

(517) 243-8333

NPI assigned

Oct 11, 2018

Last updated

Oct 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ingrid Stines, DPMNPI 1821182023

Title

Owner

Phone

(517) 243-8333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Optimum Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Powder Springs, GA
  • NPI 1699359174

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ingrid M Stines, DPM, FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Lansing, MI
  • NPI 1821182023
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1386119808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE DR STE 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE DR",
            "address_2": "STE 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114891",
            "telephone_number": "517-243-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CEDAR PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "STINES",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-243-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jilian Leigh Reason
• Shams Reaz
• James Joseph Rechtien, D.O.
• Recoarse Counseling, PLLC
• Red Cedar Clinic
• Redi Care Family Practice PC
• Erica Rose Redmann, DO
• Rachel E Redmond, DOM, LAC
• Rachel Cloonan Redpath, LLMSW
• Sophia W Ree

• Primary Podiatric Medicine Podiatrist in Lansing, MI
• Providers in Lansing, MI by specialty
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.