Active NPI
Derek Lanier, MD MPH
- Family Medicine Physician
- Rockford, MI
National Provider Identifier
1417139130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301057270
- Practice address
- 8450 Brower Lake Rd NE
Apt/Suite
Rockford, MI 49341-9346 - Phone
- (616) 874-1577
- Fax
- (616) 874-1577
- NPI assigned
- Dec 4, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301057270 | MI | Primary |
Addresses
Primary practice location
8450 Brower Lake Rd NE
Apt/Suite
Rockford, MI 49341-9346
Mailing address
366 W 8TH St Apt 52
San Pedro, CA 90731-3730
Phone (248) 842-4421
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131628 | CA | MD | Clinical Social Worker |
| 4301057270 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Foothill Urgent Care | Current | Accepting new patients | |
| Metropolitan Ipa | Family Medicine | Current | Accepting new patients |
| Care@Home Solutions Ca Inc | Family Medicine | Current | Accepting new patients |
| Bronson Methodist Hospital | Past | Accepting new patients | |
| Ascension Borgess Hospital | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Tustin, CA
- NPI 1366834756
-
- Long Term Care Hospital
- Plainwell, MI
- NPI 1154504892
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1417139130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 W 8TH ST APT 52",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313730",
"telephone_number": "248-842-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 BROWER LAKE RD NE",
"address_2": "APT/SUITE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493419346",
"telephone_number": "616-874-1577",
"fax_number": "616-874-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIER",
"first_name": "DEREK",
"name_prefix": "Dr.",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301057270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.