NPIMap

Organization Active NPI

McLaren Greater Lansing

Doing business as McLaren Greater Lansing Cardiothoracic & Vascular Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lansing, MI
National Provider Identifier
1285718064
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
MCLAREN GREATER LANSING
Doing business as
McLaren Greater Lansing Cardiothoracic & Vascular Surgery
Practice address
405 W Greenlawn Ave
Suite 305
Lansing, MI 48910-2898
Phone
(517) 483-4780
Fax
(517) 483-7595
NPI assigned
Oct 25, 2006
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLAREN GREATER LANSINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mr. Kevin Lanciotti
Title
Cfo
Phone
(517) 975-7555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU Primary

Addresses

Primary practice location

405 W Greenlawn Ave
Suite 305
Lansing, MI 48910-2898

Mailing address

405 W Greenlawn Ave
Suite 305
Lansing, MI 48910-2898
Phone (517) 483-4780

Other names 1

  • McLaren Greater Lansing Cardiothoracic & Vascular Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000526 MI Part B Supplier - Clinic/Group Practice 7214833466 Receives reassigned benefits from 100 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Okemos, MI; Lansing, MI; Grand Ledge, MI

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Meridian Primary Care

Locations

3520 Forest Rd
Lansing, MI 48910
Phone (517) 975-7800

405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780

Practitioners & affiliated clinicians

Practitioners 4

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1285718064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN AVE",
            "address_2": "SUITE 305",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102898",
            "telephone_number": "517-483-4780",
            "fax_number": "517-483-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN AVE",
            "address_2": "SUITE 305",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102898",
            "telephone_number": "517-483-4780",
            "fax_number": "517-483-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN GREATER LANSING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLAREN GREATER LANSING",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "LANCIOTTI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "517-975-7555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Greater Lansing Cardiothoracic & Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2012; 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.