McLaren Greater Lansing

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCLAREN GREATER LANSING

Practice address

1540 Lake Lansing Rd Ste 201
Lansing, MI 48912-3757

Phone

(517) 913-3900

Fax

(810) 342-1591

NPI assigned

Nov 15, 2014

Last updated

Aug 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dale Thompson

Title

Cfo

Phone

(517) 975-7555

Specialties & licenses 13

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• McLaren Greater Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1134104672

  7214833466

  Same PAC ID
• McLaren Greater Lansing

  • Gynecologic Oncology Physician
  • Lansing, MI
  • NPI 1265600902

  7214833466

  Same PAC ID
• McLaren Greater Lansing

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1972878452

  7214833466

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• McLaren Greater Lansing

  • Cardiovascular Disease Physician
  • Okemos, MI
  • NPI 1336491232

  O20150102001519

  Same enrollment
• McLaren Greater Lansing

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1972878452

  O20121226000286

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations (25 of 26)

Practitioners 182

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.

• Jason Richard Beckrow, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Grand Rapids, MI
  • NPI 1578500542
  Medicare reassignment Care Compare group NPD
• Mary Chao, D.O.

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1881814002
  Medicare reassignment Care Compare group NPD
• Craig E Cole, MD

  • Hematology (Internal Medicine) Physician
  • Lansing, MI
  • NPI 1700881059

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Ryan Gennette, NP-C

  • Nurse Practitioner
  • Lansing, MI
  • NPI 1134653405
  Medicare reassignment Care Compare group NPD
• Habtamu Petros Handro, M.D.

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1558316000
  Medicare reassignment Care Compare group NPD
• Jessica Henderson, DO

  • Surgery Physician
  • East Lansing, MI
  • NPI 1730536475
  Medicare reassignment Care Compare group NPD
• Borys W Hrinczenko, MD

  • Hematology & Oncology Physician
  • Lansing, MI
  • NPI 1376645085
  Medicare reassignment Care Compare group NPD
• Christy A Idle, RN, MSN

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1710067707
  Medicare reassignment Care Compare group NPD
• Daniel Isaac, D.O.

  • Hematology & Oncology Physician
  • Grand Rapids, MI
  • NPI 1326486416

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Eman Farouk Issawi, PA-C

  • Physician Assistant
  • East Lansing, MI
  • NPI 1437359536
  Medicare reassignment Care Compare group NPD
• Lindsey Jenks, FNP

  • Family Nurse Practitioner
  • Lansing, MI
  • NPI 1588151765
  Medicare reassignment Care Compare group NPD
• Jill Marie-Burton Knox, PA

  • Physician Assistant
  • Lansing, MI
  • NPI 1013212745
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1962808162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD STE 201",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123757",
            "telephone_number": "517-913-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD STE 201",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123757",
            "telephone_number": "517-913-3900",
            "fax_number": "810-342-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN GREATER LANSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-15",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "517-975-7555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Greater Lansing
• McLaren Greater Lansing
• McLaren Greater Lansing
• McLaren Greater Lansing
• McLaren Greater Lansing (McLaren Orthopedic Hospital)
• McLaren Greater Lansing
• McLaren Health Management Group (McLaren CareNow)
• McLaren Health Management Group (McLaren Home Health)
• Katherine McLaury, PA-C
• Amber Lee McLean, DO

• Family Medicine Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.