Aimee Marie Tegtmeier, D.O.
Individual provider Active NPI Family Medicine Physician · Lansing, MI
NPI 1497042972 · NPPES record last updated Jul 5, 2011
Key facts
- NPI
- 1497042972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101019568 (MI)
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-5772
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140612000887 | MI | Practitioner - Family Practice | 7416171467 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
13191 Schavey Rd
Dewitt, MI 48820
Phone (517) 669-2885
13191 Schavey Rd
Ste 3
Dewitt, MI 48820
Phone (517) 669-9109
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
Interoperability endpoints
- ategtmeier3281@sparrowdirecthie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101019568 | MI | Yes |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
1718 Cooper Ave
Lansing, MI 48910-2666
Phone (517) 398-3458
NPI Registry JSON
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1497042972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 COOPER AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489102666",
"telephone_number": "517-398-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489121811",
"telephone_number": "517-364-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEGTMEIER",
"first_name": "AIMEE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101019568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Lansing, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.