Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023162351 Individual Practitioner Male Practitioner

Dr. Earl J Reisdorff , DO

Specialist • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Earl Reisdorff, DO is a registered healthcare professional specializing in Specialist in Lansing, MI. Practice services are available at 401 W GREENLAWN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 W Greenlawn

Lansing, MI 48910

Telephone 5174871288
Fax 5174871129
Associated Practice Facility / Clinic
🏢 Capital Area Pathologists, Pc Facility NPI 1417049925

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 37.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Lansing, MI (867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MI 4301049211

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1810909 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1215064977

Doctor of Osteopathic Medicine (D.O.)

NPI 1255477709

Doctor of Medicine (M.D.)

Dr. Jon Paget , MD

Family Medicine

NPI 1326192311

Doctor of Medicine (M.D.)

NPI 1417001512

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Racine , MD

Emergency Medicine

NPI 1437203650

Doctor of Medicine (M.D.)

Dr. Mark Thompson , MD

Emergency Medicine

NPI 1447304498

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2008

Registered at 401 W GREENLAWN, LANSING, MI 48910 (Tel: 5174871288)

📍
Updated Business Mailing Address January 28, 2008

Registered at 1031 E SAGINAW STREET, LANSING, MI 48906 (Tel: 5174871288)

👤
Provider Name / Credentials Updated January 28, 2008

Recorded as EARL REISDORFF, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2008

Specialist (License #4301049211 in MI)

🟢
Initial NPI Registration & Enumeration January 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023162351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: January 28, 2008
Sole Proprietor: No

Mailing Address

1031 E Saginaw Street

Lansing, MI 48906

Phone: 5174871288

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.