Individual provider Active NPI

Eman Farouk Issawi, PA-C

  • Physician Assistant
  • East Lansing, MI
National Provider Identifier
1437359536
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004171 Issued in MI
Practice address
2900 Hannah Blvd
Suite 200
East Lansing, MI 48823-5384
Phone
(517) 332-0440
Fax
(517) 332-1724
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004171 MI Primary

Addresses

Primary practice location

2900 Hannah Blvd
Suite 200
East Lansing, MI 48823-5384

Mailing address

2900 Hannah Blvd
Suite 200
East Lansing, MI 48823-5384
Phone (517) 332-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090219000432 MI Practitioner - Physician Assistant 5496810723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

Practice addresses (Care Compare)

1540 Lake Lansing Rd
Lansing, MI 48912-3757

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Total Healthcare of Michigan PC Past Accepting new patients

Locations

5525 S Martin Luther King Jr Blvd
Lansing, MI 48911
Phone (517) 913-3888

2510 Kerry St
Ste 200
Lansing, MI 48912
Phone (517) 273-2706

1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912
Phone (517) 913-3900

1540 Lake Lansing Rd
Ste 103
Lansing, MI 48912
Phone (517) 913-3890

1540 Lake Lansing Rd
Ste 107
Lansing, MI 48912
Phone (517) 913-3800

3520 Forest Rd
Lansing, MI 48910
Phone (517) 975-7800

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

Interoperability endpoints

  • Direct secure messaging: emanissawi@compass.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1437359536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD",
            "address_2": "SUITE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235384",
            "telephone_number": "517-332-0440",
            "fax_number": "517-332-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD",
            "address_2": "SUITE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235384",
            "telephone_number": "517-332-0440",
            "fax_number": "517-332-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSAWI",
        "first_name": "EMAN",
        "middle_name": "FAROUK",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.