McLaren Greater Lansing
Organization Active NPI Family Medicine Physician · Okemos, MI
NPI 1972878452 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1972878452
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MCLAREN GREATER LANSING
- Practice address
- 2270 Jolly Oak Rd Ste 1
Okemos, MI 48864-6932 - Phone
- (517) 975-9475
- NPI assigned
- Mar 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Dale Thompson
- Title
- Cfo
- Phone
- (517) 975-7555
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Practitioners 122
-
Omar Bakr, M.D.
-
Aaron Michael Bohrer, D.O.
-
Heather Bowers, AGNP-BC
-
Craig Brown, DO
-
Aubrey Chartier, DO
-
Casey Claussen, CNM
-
Eric D Good, DO
-
Leanne Harker, NURSE PRACTITIONER
-
Mark Wayne Jones, DO
-
Muhammad Awais Kang, D.O
-
Jessica A Kiley, MD
-
Velora Kimball, PA-C
-
Laura J Kota, MD
-
Labony Mookerjee, M.D.
-
Helena Norwood, PA-C
-
Sandra K Russell, DO
-
Rachel Schraft, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121226000286 | MI | Part B Supplier - Clinic/Group Practice | 7214833466 |
Receives reassigned benefits from 54 practitioners 1 other NPI on this enrollment Practice locations: Lansing, MI; Dewitt, MI; Okemos, MI; Grand Ledge, MI; Eaton Rapids, MI; East Lansing, MI |
National Provider Directory
Locations
2104 Jolly Rd
Ste 220
Okemos, MI 48864
Phone (517) 381-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Sports Medicine (Family Medicine) Physician |
207QS0010X | |||
| Internal Medicine Physician |
207R00000X | |||
| Hematology (Internal Medicine) Physician |
207RH0000X | |||
| Hematology & Oncology Physician |
207RH0003X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
2270 Jolly Oak Rd Ste 1
Okemos, MI 48864-6932
Mailing address
2270 Jolly Oak Rd Ste 1
Okemos, MI 48864-6932
Phone (517) 975-9475
Other providers in Okemos, MI
- Jennifer McKinnon
- McLaren Central Michigan
- McLaren Greater Lansing
- McLaren Greater Lansing
- McLaren Greater Lansing
- McLaren Health Management Group
- Charlotte J McLean
- Karly McLean
- John D McPhail
- Alison McVey
All providers in Okemos, MI · Family Medicine 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 Aug 12, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.