Active NPI
Lansing Osteopathic Medical Group PC
- Primary Care Clinic/Center
- Okemos, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 5101006090
- Legal business name
- LANSING OSTEOPATHIC MEDICAL GROUP PC
- Practice address
- 4655 Dobie Rd
Suite 260
Okemos, MI 48864-2233 - Phone
- (517) 482-1183
- Fax
- (517) 482-9877
- NPI assigned
- Sep 15, 2008
- Last updated
- Sep 15, 2008
- 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. Jerry J Chandler, D.O.
- Title
- Physician
- Phone
- (517) 482-1183
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 5101006090 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 5101006090 | MI |
Addresses
Primary practice location
4655 Dobie Rd
Suite 260
Okemos, MI 48864-2233
Mailing address
4655 Dobie Rd
Suite 260
Okemos, MI 48864-2233
Phone (517) 482-1183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2248 Mount Hope Rd
Ste 100
Okemos, MI 48864
Phone (517) 482-1183
4655 Dobie Rd
Ste 260
Okemos, MI 48864
Phone (517) 482-1183
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.
-
- Family Medicine Physician
- Okemos, MI
- NPI 1376629287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1750530721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 DOBIE RD",
"address_2": "SUITE 260",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642233",
"telephone_number": "517-482-1183",
"fax_number": "517-482-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 DOBIE RD",
"address_2": "SUITE 260",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642233",
"telephone_number": "517-482-1183",
"fax_number": "517-482-9877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANSING OSTEOPATHIC MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "517-482-1183",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "5101006090",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101006090",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.