MICHIGAN STATE UNIVERSITY
NPI 1861443269
Family Medicine in East Lansing, MI

Active since May 12, 2006
804 SERVICE RD # A225, EAST LANSING, MI 48824(517) 353-4941 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • Accepts Insurance

About MICHIGAN STATE UNIVERSITY

This page provides the complete NPI Profile along with additional information for Michigan State University, a primary care provider established in East Lansing, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1861443269 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Michigan State University operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Lisa Rucker (Manager Enrollment & Patient Accts)

NPI
1861443269 Verify this NPI
Provider Name
MICHIGAN STATE UNIVERSITY
Entity Type
Organization
Location Address
804 SERVICE RD # A225 EAST LANSING, MI 48824
Location Phone
(517) 353-4941
Mailing Address
804 SERVICE RD # A109F EAST LANSING, MI 48824
Mailing Phone
(517) 884-2976
Mailing Fax
(517) 432-3928
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2006
Last Update Date
02-13-2018
Code Navigator

A primary care provider (PCP) like Michigan State University sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
4207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

 
52084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
6363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LISA RUCKER

Authorized Official Title
MANAGER ENROLLMENT & PATIENT ACCTS
Authorized Official Phone
(517) 355-8462

Reviews for MICHIGAN STATE UNIVERSITY

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861443269, enumerated as an "organization" on May 12, 2006.

The provider is located at 804 SERVICE RD # A225 EAST LANSING, MI 48824 and the phone number is (517) 353-4941.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.