NPIMap

Organization Active NPI

McLaren Greater Lansing

  • Gastroenterology Physician
  • Lansing, MI
National Provider Identifier
1104225168
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MCLAREN GREATER LANSING
Practice address
3937 Patient Care Way
#106
Lansing, MI 48911
Phone
(517) 485-2317
Fax
(517) 485-1490
NPI assigned
Aug 15, 2014
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Mr. Dale Thompson
Title
Cfo
Phone
(517) 975-7555

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Gastroenterology Physician 207RG0100X NU Primary
Pulmonary Disease Physician 207RP1001X NU

Addresses

Primary practice location

3937 Patient Care Way
#106
Lansing, MI 48911

Mailing address

401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone (517) 975-6000

National Provider Directory

National Provider Directory
Tax ID family
Meridian Primary Care13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1104225168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102819",
            "telephone_number": "517-975-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE WAY",
            "address_2": "#106",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-485-2317",
            "fax_number": "517-485-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN GREATER LANSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "517-975-7555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.