Msu Health Care Inc
Organization Active NPI Pediatric Hematology & Oncology Physician · Lansing, MI
NPI 1730715566 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1730715566
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Hematology & Oncology Physician 2080P0207X
- Legal business name
- MSU HEALTH CARE INC
- Practice address
- 1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897 - Phone
- (517) 364-5440
- Fax
- (517) 364-5409
- NPI assigned
- Mar 12, 2020
- Organization subpart
- No
Authorized official
- Name
- Relanda Price
- Title
- Lead Enrollment Coordinator
- Phone
- (517) 884-2976
Other NPIs on the same Medicare enrollment 28
Corporate family (same tax ID) 21
Practitioners 21
-
David Cervi, D.O., PH.D.
-
Shawn M. Jobe, M.D.
-
Chioma Okeafor Torres, M.D.
-
Mary Ellen Boudreau, NP (AGPCNP-BC)
-
Jessika Evelyn Doyle, LMSW
-
Amanda Fetterolf, MSN, FNP-BC
-
Linda Jean Gregg, BSN, RNC, WHNP
-
Peter Gregory Gulick, D.O.
-
Amber Jones, CHW
-
Jennifer E Morse, MD
-
Jennifer Rose Overzet, HIT, CHW
-
Rachel Peterson, FNP
-
Donna Rohrs, PA
-
Barbara Savage, N.P.
-
Lorrie Lorraine Youngs, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200518002744 | MI | Part B Supplier - Clinic/Group Practice | 8628404936 |
Receives reassigned benefits from 378 practitioners 28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: East Lansing, MI; Holt, MI; Lansing, MI; Novi, MI; Okemos, MI; Brighton, MI; Clinton Township, MI; Dimondale, MI |
National Provider Directory
- Tax ID family
- Msu Health Care Inc
Locations
4660 S Hagadorn Rd
Ste 405
East Lansing, MI 48823
Phone (517) 884-8600
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
3409 Ludington St
Ste 103
Escanaba, MI 49829
Phone (906) 789-4040
13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906
Phone (517) 353-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Genetic Counselor (M.S.) |
170300000X | |||
| Clinical Genetics (M.D.) Physician |
207SG0201X | |||
| Pediatrics Physician |
208000000X | |||
| Developmental - Behavioral Pediatrics Physician |
2080P0006X | |||
| Pediatric Cardiology Physician |
2080P0202X | |||
| Pediatric Hematology & Oncology Physician |
2080P0207X | Yes | ||
| Pediatric Infectious Diseases Physician |
2080P0208X | |||
| Pediatric Pulmonology Physician |
2080P0214X | |||
| Pediatric Rheumatology Physician |
2080P0216X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897
Mailing address
804 Service Rd Ste A202
East Lansing, MI 48824-7015
Other practice location 1
815 N Clare Ave
Harrison, MI 48625-8176
Phone (989) 539-6731
Other practice location 2
3409 Ludington St Ste 103
Escanaba, MI 49829-4213
Phone (906) 786-5707
Other practice location 3
1715 Lansing Ave
Jackson, MI 49202-2192
Phone (517) 788-4420
Other practice location 4
4660 S Hagadorn Rd Ste 405
East Lansing, MI 48823-6819
Phone (517) 884-8600
Other practice location 5
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 225-3141
Other practice location 6
500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1000
Other practice location 7
710 Kenmoor Ave SE Ste 200
Grand Rapids, MI 49546-2379
Phone (616) 954-5554
Other practice location 8
2012 E Preston St
Mount Pleasant, MI 48858-8990
Phone (989) 773-5921
Other providers in Lansing, MI
- Sarah Mrozek
- Amel M Mryyian
- Msu / Sparrow Health System
- Msu Early Learning Institute
- Msu Health Care Inc
- Msu Health Care Inc.
- Msu Health Care Inc.
- Msu Health Care Inc.
- Mta Physical Medicine and Rehabilitation, PLLC
- Elia Mtimavalye
All providers in Lansing, MI · Pediatric Hematology & Oncology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.