Active NPI
Maude Schroder Guerin, MD
- Obstetrics & Gynecology Physician
- East Lansing, MI
National Provider Identifier
1992772131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MG054810
- Practice address
- 1560 Turf Lane
East Lansing, MI 48823-6392 - Phone
- (517) 484-3000
- Fax
- (517) 484-6358
- NPI assigned
- Mar 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MG054810 | MI | Primary |
Addresses
Primary practice location
1560 Turf Lane
East Lansing, MI 48823-6392
Mailing address
1560 Turf Lane
East Lansing, MI 48823-6392
Phone (517) 484-3000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700022 | Other | MI | PHP PROVIDER # |
| 1009412 | Other | MI | MCLAREN PROVIDER # |
| 0770035 | Other | MI | PHP FAMILYCARE PROVIDER # |
| 3421730 | Medicaid | MI | |
| 0330198 | Other | MI | BCBS/BCN PROVIDER # |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG054810 | MI | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- maudeguerin@aog.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992772131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 TURF LANE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236392",
"telephone_number": "517-484-3000",
"fax_number": "517-484-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 TURF LANE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236392",
"telephone_number": "517-484-3000",
"fax_number": "517-484-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERIN",
"first_name": "MAUDE",
"middle_name": "SCHRODER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "MG054810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP PROVIDER #",
"identifier": "0700022",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN PROVIDER #",
"identifier": "1009412",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP FAMILYCARE PROVIDER #",
"identifier": "0770035",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3421730",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/BCN PROVIDER #",
"identifier": "0330198",
"state": "MI"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.