NPIMap

Organization Active NPI

Michigan State University

Doing business as University Physicians Office

  • Family Medicine Physician
  • East Lansing, MI
National Provider Identifier
1629307251
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301054986 Issued in MI
Legal business name
MICHIGAN STATE UNIVERSITY
Doing business as
University Physicians Office
Practice address
346 Olin Health Ctr
East Circle Drive
East Lansing, MI 48824-1037
Phone
(517) 353-9101
Fax
(517) 355-0332
NPI assigned
Dec 10, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Elizabeth Alexander, M.D.
Title
University Physician
Phone
(517) 353-9101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301054986 MI Primary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X 4301051230 MI

Addresses

Primary practice location

346 Olin Health Ctr
East Circle Drive
East Lansing, MI 48824-1037

Mailing address

346 Olin Health Ctr
East Circle Drive
East Lansing, MI 48824-1037
Phone (517) 353-9101

Other names 1

  • University Physicians Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Msu Clinical Ctr23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1629307251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 OLIN HEALTH CTR",
            "address_2": "EAST CIRCLE DRIVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241037",
            "telephone_number": "517-353-9101",
            "fax_number": "517-355-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 OLIN HEALTH CTR",
            "address_2": "EAST CIRCLE DRIVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241037",
            "telephone_number": "517-353-9101",
            "fax_number": "517-355-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "UNIVERSITY PHYSICIAN",
        "authorized_official_telephone_number": "517-353-9101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301054986",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "4301051230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Physicians Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2009; 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.