Matthew T Allswede, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Lansing, MI
NPI 1790792331 · NPPES record last updated Dec 31, 2007
Key facts
- NPI
- 1790792331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 4301054125 (MI)
- Practice address
- 1200 E Michigan Ave
Ste 445
Lansing, MI 48912-1800 - Phone
- (517) 364-5210
- Fax
- (517) 364-6216
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000454 | MI | Practitioner - Obstetrics/Gynecology | 5092821454 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Current |
Accepting new patients | |
| Sparrow Ionia Hospital | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mid-Michigan Physicians, PC | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
550 E Washington St
Fl 2
Ionia, MI 48846
Phone (616) 523-1600
1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610
1322 E Michigan Ave
Ste 220
Lansing, MI 48912
Phone (517) 364-2570
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1200 E Michigan Ave
Ste 445
Lansing, MI 48912
Phone (517) 364-5210
Interoperability endpoints
- mallswede1678@sparrowdirecthie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301054125 | MI | Yes |
Addresses
Primary practice location
1200 E Michigan Ave
Ste 445
Lansing, MI 48912-1800
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1603308512 | Other | MI | BCBS INDIVIDUAL PIN |
| 200000001117 | Other | MI | PHP PIN # |
| 4076796 | Medicaid | MI |
Other providers in Lansing, MI
- Jessica Dawn Allison
- Matthew William Allison
- Olivia Allmen
- Carolyne N Allston-Smith
- Lauren Allswede
- Michael Benjamin Almany
- Alexander Almanza
- Mohammad Mahmoud Mohammad Almasri
- Rama Almasri
- Sabine Herrera Almendras
All providers in Lansing, MI · Obstetrics & Gynecology 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 Dec 31, 2007. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.