Gerald Richard Aben, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301042453 Issued in MI

Practice address

804 Service Road
Room A204
East Lansing, MI 48824-7037

Phone

(517) 353-4920

NPI assigned

May 3, 2006

Last updated

Aug 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1689632911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD",
            "address_2": "ROOM A204",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247037",
            "telephone_number": "517-353-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD",
            "address_2": "ROOM A204",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247037",
            "telephone_number": "517-353-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEN",
        "first_name": "GERALD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301042453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689632911",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2900312",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salma Abdel-Aziz
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• George Samih Abela, M.D.
• Christopher J Abood, M.D.
• Ahmad Abu Limon, MD
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• Nana Siriboe Achampong, M.D.
• Allison Ackels

• Diagnostic Radiology Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.