Organization Active NPI

Gerald T Pruitt DO PLLC

  • Pulmonary Disease Physician
  • East Lansing, MI
National Provider Identifier
1972928513
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5101015307 Issued in MI
Legal business name
GERALD T PRUITT DO PLLC
Practice address
350 Whitehills Dr
East Lansing, MI 48823-2758
Phone
(517) 455-7155
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Ms. Malia B Pruitt
Title
Administrative Assistant
Phone
(517) 455-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 5101015307 MI Primary

Addresses

Primary practice location

350 Whitehills Dr
East Lansing, MI 48823-2758

Mailing address

350 Whitehills Dr
East Lansing, MI 48823-2758
Phone (517) 455-7155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1972928513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WHITEHILLS DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232758",
            "telephone_number": "517-455-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WHITEHILLS DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232758",
            "telephone_number": "517-455-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD T PRUITT DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "MALIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "517-455-7155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101015307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.