Organization Active NPI

Lonson L Barr, D.O., P.C.

  • Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1366636755
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101005711 Issued in MI
Legal business name
LONSON L BARR, D.O., P.C.
Practice address
1945 Boston St SE
Ste 303
Grand Rapids, MI 49506-4100
Phone
(616) 246-6262
Fax
(616) 246-8737
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Lonson L Barr, D.O.
Title
President & Physician
Phone
(616) 246-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 5101005711 MI Primary

Addresses

Primary practice location

1945 Boston St SE
Ste 303
Grand Rapids, MI 49506-4100

Mailing address

1945 Boston St SE
Ste 303
Grand Rapids, MI 49506-4100
Phone (616) 246-6262

Other identifiers 1

IdentifierTypeStateIssuer
1767521MedicaidMI

National Provider Directory

National Provider Directory

Locations

2000 Burton St SE
Ste C
Grand Rapids, MI 49506
Phone (616) 246-6262

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1366636755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 BOSTON ST SE",
            "address_2": "STE 303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064100",
            "telephone_number": "616-246-6262",
            "fax_number": "616-246-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 BOSTON ST SE",
            "address_2": "STE 303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064100",
            "telephone_number": "616-246-6262",
            "fax_number": "616-246-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONSON L BARR, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "LONSON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & PHYSICIAN",
        "authorized_official_telephone_number": "616-246-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101005711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1767521",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.