Active NPI
Donald J Sefcik, D.O.
- Family Medicine Physician
- East Lansing, MI
National Provider Identifier
1992959563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101018026
- Practice address
- 138 Service Rd Ste A109
East Lansing, MI 48824-1376 - Phone
- (517) 355-1300
- Fax
- (517) 355-1710
- NPI assigned
- Nov 10, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101018026 | MI | |
| Family Medicine Physician | 207Q00000X | 5101018026 | MI | Primary |
Addresses
Primary practice location
138 Service Rd Ste A109
East Lansing, MI 48824-1376
Mailing address
A308 East Fee Hall
Com Dean'S Office
East Lansing, MI 48824
Phone (517) 355-9616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992959563 | 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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101018026 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1992959563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A308 EAST FEE HALL",
"address_2": "COM DEAN'S OFFICE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48824",
"telephone_number": "517-355-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 SERVICE RD STE A109",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241376",
"telephone_number": "517-355-1300",
"fax_number": "517-355-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEFCIK",
"first_name": "DONALD",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-10",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101018026",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101018026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992959563",
"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 Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.