Organization Active NPI

Kelly and Garcia PLLC

  • General Practice Physician
  • East Lansing, MI
National Provider Identifier
1760423636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KELLY AND GARCIA PLLC
Practice address
3496 E Lake Lansing Rd
Suite 160
East Lansing, MI 48823-2288
Phone
(517) 371-5515
Fax
(517) 371-5564
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Manuel Garcia, M.D.
Title
President Physician
Phone
(517) 371-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3496 E Lake Lansing Rd
Suite 160
East Lansing, MI 48823-2288

Mailing address

3496 E Lake Lansing Rd
Suite 160
East Lansing, MI 48823-2288
Phone (517) 371-5515

National Provider Directory

National Provider Directory

Locations

3496 E Lake Lansing Rd
Ste 160
East Lansing, MI 48823
Phone (517) 336-1200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760423636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 E LAKE LANSING RD",
            "address_2": "SUITE 160",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232288",
            "telephone_number": "517-371-5515",
            "fax_number": "517-371-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 E LAKE LANSING RD",
            "address_2": "SUITE 160",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232288",
            "telephone_number": "517-371-5515",
            "fax_number": "517-371-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY AND GARCIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "517-371-5515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.