Active NPI
Douglas Hintzman, D.O.
- Plastic Surgery Physician
- Lansing, MI
National Provider Identifier
1497855753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- DH008735
- Practice address
- 2815 S Pennsylvania Ave
Suite 5
Lansing, MI 48910-3496 - Phone
- (517) 372-0300
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | DH008735 | MI | Primary |
Addresses
Primary practice location
2815 S Pennsylvania Ave
Suite 5
Lansing, MI 48910-3496
Mailing address
2815 S Pennsylvania Ave
Suite 5
Lansing, MI 48910-3496
Phone (517) 372-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2607710 | Medicaid | MI |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110104000427 | MI | Practitioner - Plastic and Reconstructive Surgery | 1951590157 | Practice locations: East Lansing, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
231 W Lake Lansing Rd
Suite 500B
East Lansing, MI 48823-8473
Phone (517) 372-0300
Hospital & facility affiliations
- McLaren Greater Lansing
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 158 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 60 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH008735 | MI | MD | Plastic Surgery Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497855753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 S PENNSYLVANIA AVE",
"address_2": "SUITE 5",
"city": "LANSING",
"state": "MI",
"postal_code": "489103496",
"telephone_number": "517-372-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 S PENNSYLVANIA AVE",
"address_2": "SUITE 5",
"city": "LANSING",
"state": "MI",
"postal_code": "489103496",
"telephone_number": "517-372-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTZMAN",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MI",
"license": "DH008735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2607710",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.