Dr. John M Dysart

MD | Pediatric Cardiology | Male

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Complete Profile:

Dr. John M Dysart basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. John M Dysart
Credential :	MD
Gender :	Male

Business Address:

Dr. John M Dysart address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3960 Patient Care Dr, Suite 113 Lansing, MI, 48911-4275 United States
Phone Number :	517-484-0004
Fax Number :	517-484-7241

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1265425177
NPI Entity Type :	Individual
First Enrolment Date :	25 Aug, 2005
Last Updated On :	05 Mar, 2021

Medicare Participation:

Dr. John M Dysart participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2466501200
Medicare Enrollment ID :	I20090527000223
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Medical College Of Georgia School Of Medicine
Graduation Year :	1988
Accepts Medicare?	Yes. Dr. John M Dysart accepts medicare insurance.

Group Practice Association:

Dr. John M Dysart is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. John M Dysart is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Spectrum Health Primary Care Partners	4587568647	1518	3960 Patient Care Dr Suite 113 Lansing, MI - 489114279 Ph: 6162672300	Yes
Spectrum Health Primary Care Partners	4587568647	1518	4444 Kalamazoo Ave Se 200 Shmg Internal Medicine Kentwood, MI - 495084600 Ph: 6163915600	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John M Dysart are as mentioned. Primary taxonomy code for Dr. John M Dysart, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
174400000X	Specialist	No
2080P0202X	Pediatrics Pediatric Cardiology	Yes	JD063672	MI

Legacy Identifiers:

Other legacy medical identifiers of Dr. John M Dysart such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
85305	Other	MI	BLUE CARE NETWORK
L3338287	MEDICAID	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 Michigan St Ne, Mc 845 Grand Rapids, MI, 49503-2560 United States

Business Location:

Patients can refer following map for directions to Dr. John M Dysart practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.