Active NPI
Kathleen Marie Hanlon-Lundberg, MD
- Maternal & Fetal Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1952519365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 4301075444
- Practice address
- 2340 E Stadium Blvd
Suite 8
Ann Arbor, MI 48104-4823 - Phone
- (734) 477-5100
- Fax
- (734) 477-5111
- NPI assigned
- May 18, 2007
- Last updated
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301075444 | MI | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301075444 | MI | Primary |
Addresses
Primary practice location
2340 E Stadium Blvd
Suite 8
Ann Arbor, MI 48104-4823
Mailing address
2340 E Stadium Blvd
Suite 8
Ann Arbor, MI 48104-4823
Phone (734) 477-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4166445 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301075444 | MI | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womansafehealth | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Ann Arbor, MI
- NPI 1548434814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1952519365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 E STADIUM BLVD",
"address_2": "SUITE 8",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044823",
"telephone_number": "734-477-5100",
"fax_number": "734-477-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 E STADIUM BLVD",
"address_2": "SUITE 8",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044823",
"telephone_number": "734-477-5100",
"fax_number": "734-477-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON-LUNDBERG",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301075444",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MI",
"license": "4301075444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4166445",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.