Individual provider Active NPI

Terry Merrill Matthews, D.O.

  • Urgent Care Clinic/Center
  • Lansing, MI
National Provider Identifier
1659359164
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
5101014149 Issued in MI
Practice address
505 N Clippert St
Lansing, MI 48912-4701
Phone
(517) 285-0905
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101014149 MI
Urgent Care Clinic/Center 261QU0200X 5101014149 MI Primary

Addresses

Primary practice location

505 N Clippert St
Lansing, MI 48912-4701

Mailing address

16945 Marsh Rd Ste a
Haslett, MI 48840-8948
Phone (517) 333-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000700 MI Practitioner - Family Practice 0143201558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lansing Urgent Care PLCGroup PAC ID 7214947902, 42 clinicians

Practice addresses (Care Compare)

12970 S US Hwy 27
Dewitt, MI 48820-7956
Phone (517) 999-2273

132 S Cedar St
Suite 3
Mason, MI 48854-2401
Phone (517) 999-2273

16945 Marsh Rd
Haslett, MI 48840-8948
Phone (517) 999-2273

2289 W Grand River Ave
Okemos, MI 48864-1649
Phone (517) 349-2300

320 E Jolly Rd
Lansing, MI 48910-6677
Phone (517) 999-4700

4440 W Saginaw Hwy
Lansing, MI 48917-2701
Phone (517) 327-6400

505 N Clippert St
Lansing, MI 48912-4701
Phone (517) 333-9200

886 E Saginaw Hwy
Grand Ledge, MI 48837-8410
Phone (517) 999-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101014149MIMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Urgent Care PLC Urgent Care CurrentSince Jul 1, 2006 Accepting new patients
Lansing Urgent Care, PLC Urgent Care Past Accepting new patients
Meridian Wellness, PLLC Family Medicine Past Accepting new patients

Locations

12970 S US Highway 27
Dewitt, MI 48820
Phone (517) 669-8345

886 E Saginaw Hwy
Grand Ledge, MI 48837

16945 Marsh Rd
Ste A
Haslett, MI 48840

16945 Marsh Rd
Haslett, MI 48840

505 N Clippert St
Lansing, MI 48912
Phone (517) 285-0905

320 E Jolly Rd
Lansing, MI 48910
Phone (517) 999-4700

4440 W Saginaw Hwy
Lansing, MI 48917
Phone (517) 327-6400

132 S Cedar St
Ste 3
Mason, MI 48854

2289 W Grand River Ave
Okemos, MI 48864
Phone (517) 349-2300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1659359164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16945 MARSH RD STE A",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408948",
            "telephone_number": "517-333-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124701",
            "telephone_number": "517-285-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "TERRY",
        "middle_name": "MERRILL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014149",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "5101014149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.