Organization Active NPI

McLaren Greater Lansing

  • Orthopaedic Surgery Physician
  • Lansing, MI
National Provider Identifier
1235305673
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MCLAREN GREATER LANSING
Practice address
2815 S Pennyslvania
Suite 102
Lansing, MI 48910
Phone
(517) 351-8888
Fax
(517) 351-7189
NPI assigned
May 6, 2008
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2815 S Pennyslvania
Suite 102
Lansing, MI 48910

Mailing address

2815 S Pennsylania Ave
Suite 102
Lansing, MI 48910
Phone (517) 351-7189

Other identifiers 1

IdentifierTypeStateIssuer
200C360350OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Michigan Capital Medica13 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1235305673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLANIA AVE",
            "address_2": "SUITE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-351-7189",
            "fax_number": "517-351-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S PENNYSLVANIA",
            "address_2": "SUITE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-351-8888",
            "fax_number": "517-351-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN GREATER LANSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "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": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "200C360350",
            "state": "MI"
        }
    ],
    "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.