Healthcare Provider Details

I. General information

NPI: 1780912626
Provider Name (Legal Business Name): PATRICK FORREST HITE PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2009
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 E JOLLY RD
LANSING MI
48910-6818
US

IV. Provider business mailing address

PO BOX 30161
LANSING MI
48909-7661
US

V. Phone/Fax

Practice location:
  • Phone: 517-244-8030
  • Fax: 517-244-7183
Mailing address:
  • Phone: 517-887-4383
  • Fax: 517-244-7183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601005646
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: