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MSU CMDS CLINIC
NPI 1821493974
Pediatrics - Pediatric Hematology-Oncology in Lansing, MI

Active since October 31, 2014
1200 E MICHIGAN AVE, STE 145, LANSING, MI 48912(517) 364-5440(517) 364-5409 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Msu Cmds Clinic NPPES

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

MSU CMDS CLINIC (NPI 1821493974) is a healthcare organization registered as a pediatric hematology-oncology in Lansing, Michigan and active in the NPI registry since October 2014. The organization lists Lisa M Rucker, Enrollment & Patient Accts Super, as its authorized official.

NPPES Registry Identity

NPI1821493974
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NameBOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY
Location Address1200 E MICHIGAN AVE, STE 145Lansing, MI 48912-1800
Mailing Address804 Service Rd Ste A109bEast Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Phone(517) 364-5440
Fax(517) 364-5409
Organization SubpartNo
Authorized OfficialLisa M RuckerEnrollment & Patient Accts Super · (517) 355-8462
Enumeration DateOctober 31, 2014
Last NPPES UpdateDecember 13, 2019
✔ NPI 1821493974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in MI · 4301045225
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 4301035591 (MI)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 4301021298 (MI)
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License 4301035591 (MI)
1200 E MICHIGAN AVE, Lansing, MI 48912
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Other Names 1

Other NameMsu Cmds Clinic

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.

SHIMIA ISAAC D.O.
Family Medicine
1200 E MICHIGAN AVE, SUITE 245
LANSING, MI 48912
Ingham County (517) 364-5772
DEBRA MARIE PIERCE M.D.
Surgery
1200 E MICHIGAN AVE, SUITE 655
LANSING, MI 48912
Ingham County (517) 267-2460
KATRINA ANNE WEIRAUCH ENGLE D.O.
Family Medicine
1200 E MICHIGAN AVE, SUITE 245-C
LANSING, MI 48912
Ingham County (517) 364-5772
CHARLES E THOMAS P.A.
Physician Assistant
1200 E MICHIGAN AVE, SUITE 655
LANSING, MI 48912
Ingham County (517) 267-2460
MR. IMU AMIRALI ESMAIL MD
Anesthesiology
1200 E MICHIGAN AVE, SUITE 370
LANSING, MI 48912
Ingham County (517) 484-4451
DR. RENUKA GERA M.D.
Pediatrics (Pediatric Hematology-Oncology)
1200 E MICHIGAN AVE, STE 145
LANSING, MI 48912
Ingham County (517) 364-5440
DAVID MALDONADO
Technician/Technologist (Optician)
1200 E MICHIGAN AVE, SUITE 110
LANSING, MI 48912
Ingham County (517) 364-5875
TONI MARIE MCFARLAND M.A., L.P.C.
Counselor
1200 E MICHIGAN AVE, SUITE 630
LANSING, MI 48912
Ingham County (517) 364-5130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Trustees Of Michigan State University's NPI number?

The NPI number for Board Of Trustees Of Michigan State University is 1821493974. It was assigned to this organization in the NPPES registry on October 31, 2014. The provider is also known as Msu Cmds Clinic.

Where is Board Of Trustees Of Michigan State University located?

Board Of Trustees Of Michigan State University is located at 1200 E Michigan Ave Ste 145, Lansing, MI 48912. The listed phone number is (517) 364-5440.

What is Board Of Trustees Of Michigan State University's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of Michigan State University was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.