Advanced Laparoscopic Bariatric Surgery Associates

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35.086946 Issued in OH

Legal business name

ADVANCED LAPAROSCOPIC BARIATRIC SURGERY ASSOCIATES

Practice address

960 W Wooster St
Suite 116
Bowling Green, OH 43402-2644

Phone

(419) 373-7699

Fax

(419) 354-7430

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian F. Lane, MDNPI 1568442184

Title

Authorized Official

Phone

(419) 373-7699

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Brian Francis Lane, M.D.

  • Surgery Physician
  • Portland, OR
  • NPI 1568442184
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407945926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 PINE VALLEY DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434025201",
            "telephone_number": "419-352-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST",
            "address_2": "SUITE 116",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022644",
            "telephone_number": "419-373-7699",
            "fax_number": "419-354-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LAPAROSCOPIC BARIATRIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "419-373-7699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35.086946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2510018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Abouabdallah
• Rebecca Adams-Hart, M.ED.
• Iyadunni Aderotoye
• Kelsey Adkins
• Advanced Care Emergency Medicine Group, LLC
• Advanced Radiologic Physicians, Inc.
• Faheem Ahmad, MD
• Mohammed K Ahmed, MD
• Syeda S. Ahmed, MD
• Mmaduabuchi Akujuobi

• Medical Specialty Clinic/Center in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.