NPIMap

Organization Active NPI

Shanmugam Lakshmanan SC

  • Colon & Rectal Surgery Physician
  • Salem, IL
National Provider Identifier
1265498463
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Shanmugam Lakshmanan, MDNPI 1356522718
Title
President
Phone
(618) 548-5061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X OH2617602 IL Primary

Addresses

Primary practice location

111 E Rogers St
Salem, IL 62881-2902

Mailing address

111 E Rogers St
Salem, IL 62881-2902
Phone (618) 548-5061

National Provider Directory

National Provider Directory

Locations

111 E Rogers St
Salem, IL 62881
Phone (618) 548-5061

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

  • 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.