Individual provider Active NPI

Reddog Eitig Sina, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • East Lansing, MI
National Provider Identifier
1902035645
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
5101018078 Issued in MI
Practice address
4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804
Phone
(517) 432-6144
Fax
(517) 432-6150
NPI assigned
Jul 2, 2009
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101018078 MI
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101018078 MI Primary

Addresses

Primary practice location

4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 432-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130409000570 MI Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 2567608904 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

2525 Jolly Rd
Suite 240
Okemos, MI 48864-3681
Phone (989) 729-4304

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

715 Byron Rd
Suite 1
Howell, MI 48843-1080
Phone (517) 625-1046

819 N Shiawassee St
Owosso, MI 48867-1601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University Family Medicine Current Accepting new patients
Michigan State University CurrentSince May 1, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Memorial Hospital Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
Michigan State University Neuromusculoskeletal Medicine & Omm CurrentSince May 1, 2019 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Memorial Hospital Family Medicine Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Beals Institute PC PastSince Mar 30, 2006 Accepting new patients
Joshua P June DO PastSince Mar 22, 2020 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

715 Byron Rd
Ste 1
Howell, MI 48843
Phone (517) 625-1046

2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

2525 Jolly Rd
Ste 240
Okemos, MI 48864
Phone (855) 276-2111

819 N Shiawassee St
Ste 110
Owosso, MI 48867
Phone (989) 723-1390

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

1501 Waterford Pkwy
Ste B
Saint Johns, MI 48879
Phone (989) 534-2353

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Interoperability endpoints

  • Direct secure messaging: reddog.sina.1@23869.direct.athenahealth.com
  • Direct secure messaging: rsina@memorialhealthcare.midirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1902035645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-432-6144",
            "fax_number": "517-432-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD STE 500",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236804",
            "telephone_number": "517-432-6144",
            "fax_number": "517-432-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINA",
        "first_name": "REDDOG",
        "middle_name": "EITIG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018078",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101018078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.