Shanmugam Lakshmanan SC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

OH2617602 Issued in IL

Legal business name

SHANMUGAM LAKSHMANAN SC

Practice address

111 E Rogers St
Salem, IL 62881-2902

Phone

(618) 548-5061

Fax

(618) 568-5079

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shanmugam Lakshmanan, MD

Title

President

Phone

(618) 548-5061

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1265498463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E ROGERS ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812902",
            "telephone_number": "618-548-5061",
            "fax_number": "618-568-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E ROGERS ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812902",
            "telephone_number": "618-548-5061",
            "fax_number": "618-568-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANMUGAM LAKSHMANAN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "LAKSHMANAN",
        "authorized_official_first_name": "SHANMUGAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-548-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "OH2617602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051027",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salem Township Hospital
• Salem Township Hospital
• Salem Township Hospital
• Faith Self
• Selmaville CC SCH Dist 10
• Keith Shaw, PT
• Katie Shelton
• Michael Smith, PT
• Taryn Lee Smith, SSP
• Southern Illinois Healthcare Foundation, Inc.

• Colon & Rectal Surgery Physician in Salem, IL
• Providers in Salem, IL by specialty
• Colon & Rectal Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.