Organization Active NPI

Ready Care Grand Ledge PC

  • Pediatrics Physician
  • Lansing, MI
National Provider Identifier
1538249586
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301037074 Issued in MI
Legal business name
READY CARE GRAND LEDGE PC
Practice address
644 Migaldi Lane
Suite 300
Lansing, MI 48917-7750
Phone
(517) 627-6024
Fax
(517) 627-9339
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Farrokh Rahnemoon, MD
Title
Owner
Phone
(517) 627-6024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301037074 MI Primary

Addresses

Primary practice location

644 Migaldi Lane
Suite 300
Lansing, MI 48917-7750

Mailing address

644 Migaldi Lane
Suite 300
Lansing, MI 48917-7750
Phone (517) 627-6024

Other identifiers 2

IdentifierTypeStateIssuer
0B30084OtherMIBLUE CROSS BLUE SHIELD
104730919MedicaidMI

Other names 1

  • Ready Care Grand Ledge PLC Former legal business name

National Provider Directory

National Provider Directory

Locations

644 Migaldi Ln
Ste 300
Lansing, MI 48917
Phone (517) 388-1507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1538249586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 MIGALDI LANE",
            "address_2": "SUITE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489177750",
            "telephone_number": "517-627-6024",
            "fax_number": "517-627-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 MIGALDI LANE",
            "address_2": "SUITE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489177750",
            "telephone_number": "517-627-6024",
            "fax_number": "517-627-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY CARE GRAND LEDGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "RAHNEMOON",
        "authorized_official_first_name": "FARROKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-627-6024",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301037074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0B30084",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104730919",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ready Care Grand Ledge PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.