Organization Active NPI

John Kolstoe MD PLLC

  • Rheumatology Physician
  • East Lansing, MI
National Provider Identifier
1629000930
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301046998 Issued in MI
Legal business name
JOHN KOLSTOE MD PLLC
Practice address
1401 E Lansing Dr
Suite 108
East Lansing, MI 48823-7787
Phone
(517) 351-9386
Fax
(517) 351-9388
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. John D Kolstoe, MD
Title
Owner
Phone
(517) 351-9386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 4301046998 MI Primary

Addresses

Primary practice location

1401 E Lansing Dr
Suite 108
East Lansing, MI 48823-7787

Mailing address

1401 E Lansing Dr
Suite 108
East Lansing, MI 48823-7787
Phone (517) 351-9386

National Provider Directory

National Provider Directory

Locations

1401 E Lansing Dr
Ste 108
East Lansing, MI 48823
Phone (517) 351-9386

1401 E Lansing Dr
Ste 1
East Lansing, MI 48823
Phone (517) 351-9386

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1629000930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E LANSING DR",
            "address_2": "SUITE 108",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237787",
            "telephone_number": "517-351-9386",
            "fax_number": "517-351-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E LANSING DR",
            "address_2": "SUITE 108",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237787",
            "telephone_number": "517-351-9386",
            "fax_number": "517-351-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KOLSTOE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "KOLSTOE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-351-9386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301046998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.