Active NPI
Mid Michigan Fertility Care
- Medical Specialty Clinic/Center
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 4301089357
- Legal business name
- MID MICHIGAN FERTILITY CARE
- Practice address
- 1322 E Michigan Ave Ste 301
Lansing, MI 48912-2109 - Phone
- (347) 254-5772
- NPI assigned
- Apr 29, 2010
- Last updated
- Apr 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Awoniyi Olumide Awonuga, M.D.
- Title
- Director
- Phone
- (347) 254-5772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 4301089357 | MI | Primary |
Addresses
Primary practice location
1322 E Michigan Ave Ste 301
Lansing, MI 48912-2109
Mailing address
953 Strowbridge Dr
Howell, MI 48843-6623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2683 NI | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Michigan Fertility Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Southfield, MI
- NPI 1134009707
Locations
1322 E Michigan Ave
Ste 301
Lansing, MI 48912
Phone (347) 254-5772
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Southfield, MI
- NPI 1437156064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1639496771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 STROWBRIDGE DR",
"city": "HOWELL",
"state": "MI",
"postal_code": "488436623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 E MICHIGAN AVE STE 301",
"city": "LANSING",
"state": "MI",
"postal_code": "489122109",
"telephone_number": "347-254-5772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID MICHIGAN FERTILITY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "AWONUGA",
"authorized_official_first_name": "AWONIYI",
"authorized_official_middle_name": "OLUMIDE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "347-254-5772",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MI",
"license": "4301089357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2683 NI",
"state": "NY"
}
],
"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 Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.