Lakeview Surgery Center LC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LAKEVIEW SURGERY CENTER LC

Practice address

1750 60TH Street
West Des Moines, IA 50266

Phone

(515) 273-5240

Fax

(515) 273-5241

NPI assigned

Nov 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael P Mohan, MD

Title

Board Chair

Phone

(515) 270-5240

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

Lakeview Surgery CenterCCN 16C0001014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Central Iowa Hospital Corporation

  • Psychiatric Hospital Unit
  • Des Moines, IA
  • NPI 1033201793

  Member Of

  NPD member
• The Iowa Clinic, PC

  • Prosthetic/Orthotic Supplier
  • West Des Moines, IA
  • NPI 1174792873

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1003807835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 60TH STREET",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-273-5240",
            "fax_number": "515-273-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 60TH STREET",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-273-5240",
            "fax_number": "515-273-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SURGERY CENTER LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "515-270-5240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0610089",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "61002",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lafleur Chiropractic, PLC
• Benjamin Joseph Lafleur, D.C.
• Elizabeth Faye Lafleur, DC
• Steven Alan Lahey, T-LMHC
• Michael Laib
• Esada Lakovic, OT
• Teresa L Lamasters, M.D.
• Micah Lee Lambert
• Karsyn Shae Lamm
• Lamotte Counseling Services Inc.

• Ambulatory Surgical Clinic/Center in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.