Michigan Institute for Laparoscopic Surgery PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301086396 Issued in MI

Legal business name

MICHIGAN INSTITUTE FOR LAPAROSCOPIC SURGERY PC

Practice address

5807 W Maple Rd Ste 175
West Bloomfield, MI 48322-4483

Phone

(248) 255-4380

Fax

(248) 255-4381

NPI assigned

Jun 10, 2013

Last updated

Jul 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott A Laker, MDNPI 1891735734

Title

Owner/Physician

Phone

(248) 255-4380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott A Laker, MD

  • Surgery Physician
  • West Bloomfield, MI
  • NPI 1891735734
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1063850329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251742",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483251742",
            "telephone_number": "248-255-4380",
            "fax_number": "248-255-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD STE 175",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "248-255-4380",
            "fax_number": "248-255-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INSTITUTE FOR LAPAROSCOPIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "LAKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-255-4380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301086396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Anesthesia Providers PLC
• Michigan Chiropractic Specialists of West Bloomfield, P.C.
• Michigan Habilitation and Learning Center, Inc
• Michigan Healthcare Professionals PC (Oakland ENT)
• Michigan Healthcare Professionals PC
• Michigan Institute of Sleep Disorders PLLC
• Michigan Interventional Pain Associates PLLC
• Michigan Interventional Pain Associates PLLC
• Michigan Oms P C
• Michigan Orthopaedic Surgeons PLLC

• Surgery Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.