MICHIGAN STATE UNIVERSITY
NPI 1467535211
Pediatrics - Neonatal-Perinatal Medicine in Lansing, MI

Q: What is Michigan State University's NPI number?

The NPI number for Michigan State University is 1467535211. It was assigned to this organization in the NPPES registry on October 23, 2006.

Q: What is Michigan State University's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since October 23, 2006

1215 E MICHIGAN AVE, SPARROW HOSPITAL - NEONATOLOGY UNIT, LANSING, MI 48912(517) 364-2670(517) 364-3994 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michigan State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN STATE UNIVERSITY (NPI 1467535211) is a healthcare organization registered as a neonatal-perinatal medicine in Lansing, Michigan and active in the NPI registry since October 2006. The organization lists Lisa M Rucker, Provider Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1467535211

Entity TypeOrganization

Primary Taxonomy2080N0001X

Legal Business NameMICHIGAN STATE UNIVERSITY

Location Address1215 E MICHIGAN AVE, SPARROW HOSPITAL - NEONATOLOGY UNITLansing, MI 48912-1811

Mailing Address804 Service Rd, Room A201East Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928

Phone(517) 364-2670

Fax(517) 364-3994

Organization SubpartNo

Authorized OfficialLisa M RuckerProvider Enrollment Manager · (517) 355-8462

Enumeration DateOctober 23, 2006

Last NPPES UpdateFebruary 8, 2018

✔ NPI 1467535211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1215 E MICHIGAN AVE, Lansing, MI 48912

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Other Identifiers 1

Medicaid3043440MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL FRANCIS BOUCHARD D.O.

Family Medicine

1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912

Ingham County (231) 955-3360

DR. JESSICA FROST MD

Obstetrics & Gynecology