Provider Demographics
NPI:1588877419
Name:HOISINGTON, KARA J
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:J
Last Name:HOISINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 LAKE LANSING RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3756
Mailing Address - Country:US
Mailing Address - Phone:517-913-3820
Mailing Address - Fax:517-913-3821
Practice Address - Street 1:1540 LAKE LANSING RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3756
Practice Address - Country:US
Practice Address - Phone:517-913-3820
Practice Address - Fax:517-913-3821
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI510016233207R00000X
MI5101016233207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1054419OtherMCLAREN HEALTH PLAN-MEDICAID
MI200000021955OtherPHP FAMILYCARE
MI200000021955OtherPHP
MIP00908073OtherRAILROAD MEDICARE
MI1054419OtherMCLAREN HEALTH ADVANTAGE
MI1054419OtherMCLAREN HEALTH PLAN-COMMERCIAL
MI1153313895OtherBLUE CARE NETWORK
MI0M21440068OtherMEDICARE ADVANTAGE
MI9906338OtherAETNA
MI1153313895OtherBLUE CROSS BLUE SHIELD
MI200000021955OtherPHP FAMILYCARE