Active NPI
Terry L Stuckey, PA
- Physician Assistant
- Lansing, MI
National Provider Identifier
1508958463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001992
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-2223
- Fax
- (517) 364-3131
- NPI assigned
- Sep 29, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001992 | MI | Primary |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
PO Box 634280
Cincinnati, OH 45263-0041
Phone (517) 336-8080
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001992 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Observation Services, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1346503158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1508958463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634280",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630041",
"telephone_number": "517-336-8080",
"fax_number": "517-336-9122"
},
{
"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": "517-364-2223",
"fax_number": "517-364-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "TERRY",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "001992",
"primary": true
}
],
"identifiers": [],
"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 Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.