NPIMap

Individual provider Active NPI

Edward A Swisher, MD

  • Internal Medicine Physician
  • Lansing, MI
National Provider Identifier
1396731634
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ES049829 Issued in MI
Practice address
2311 S Cedar St
Suite B
Lansing, MI 48910-3191
Phone
(517) 484-7900
Fax
(517) 484-1113
NPI assigned
Sep 22, 2005
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ES049829 MI Primary

Addresses

Primary practice location

2311 S Cedar St
Suite B
Lansing, MI 48910-3191

Mailing address

2311 S Cedar St
Suite B
Lansing, MI 48910-3191
Phone (517) 484-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000240 MI Practitioner - Internal Medicine 4688572449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Michigan Internal Medicine PCGroup PAC ID 1254239007, 2 clinicians

Practice addresses (Care Compare)

2311 S Cedar St
Suite B
Lansing, MI 48910-3191
Phone (517) 484-7900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ES049829MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Internal Medicine PC Internal Medicine CurrentSince Nov 15, 1992 Accepting new patients

Locations

2311 S Cedar St
Lansing, MI 48910
Phone (517) 484-7900

2311 S Cedar St
Ste B
Lansing, MI 48910
Phone (517) 484-7900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1396731634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S CEDAR ST",
            "address_2": "SUITE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103191",
            "telephone_number": "517-484-7900",
            "fax_number": "517-484-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S CEDAR ST",
            "address_2": "SUITE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103191",
            "telephone_number": "517-484-7900",
            "fax_number": "517-484-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "ES049829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.