Greater Lansing Surgeons, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

CM005070 Issued in MI

Legal business name

GREATER LANSING SURGEONS, P.C.

Doing business as

Greater Lansing Surgeons, P.C.

Practice address

2815 S Pennsylvania Ave
Suite 105
Lansing, MI 48910-3496

Phone

(517) 487-8255

Fax

(517) 487-2059

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles William Mercer, D.O.

Title

President

Phone

(517) 487-8255

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• Greater Lansing Surgeons, P.C. Doing business as

Practitioners 2

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

• Jeffrey Gerard Deppen, DO

  • Surgery Physician
  • Lansing, MI
  • NPI 1659371177
  NPD (past)
• Sandra Patricia Sanchez, D.O.

  • Surgery Physician
  • Wellington, FL
  • NPI 1740287846
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1417905613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "SUITE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-487-8255",
            "fax_number": "517-487-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "SUITE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-487-8255",
            "fax_number": "517-487-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LANSING SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-487-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "CM005070",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "SS013541",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "JD014681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA 3383",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4404799",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5330326",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "53311215",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4748047",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5331175",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Lansing Surgeons, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Great Lakes Lithotripsy, LLC
• Great Lakes Pediatric Associates
• Greater Lansing Chiropractic
• Greater Lansing Chiropractic Clinics Inc
• Greater Lansing Orthotic Clinic Inc.
• Kristina Greathouse, PT, DPT, MTC
• Lauren Marie Greathouse, MS CCC-SLP
• Cydney Savannah Green
• Glenna Michele Green
• Lynnieshya Green

• Surgery Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.