Active NPI
Laran Johnathon Lerner, D.O.
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Westland, MI
National Provider Identifier
1598713430
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- LL008800
- Practice address
- 1678 S Merriman Rd
Westland, MI 48186-5355 - Phone
- (734) 721-0011
- Fax
- (734) 721-0859
- NPI assigned
- May 4, 2006
- Last updated
- Aug 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | LL008800 | MI | Primary |
Addresses
Primary practice location
1678 S Merriman Rd
Westland, MI 48186-5355
Mailing address
1678 S Merriman Rd
Westland, MI 48186-5355
Phone (734) 721-0011
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113128216 | Medicaid | MI | |
| 383170766 | Other | MI | COMMERCIAL |
| 700H213850 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL008800 | MI | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Medical of Dearborn P.L.L.C. | Past | Accepting new patients | |
| Greater Detroit Physical Therapy | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Merriman Medical Center
- Orthopedic Physical Therapist
- Westland, MI
- NPI 1962435685
-
dba Laran Lerner, D.O.
- Physical Therapist
- Westland, MI
- NPI 1205865318
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1235109786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1598713430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1678 S MERRIMAN RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481865355",
"telephone_number": "734-721-0011",
"fax_number": "734-721-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1678 S MERRIMAN RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481865355",
"telephone_number": "734-721-0011",
"fax_number": "734-721-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "LARAN",
"middle_name": "JOHNATHON",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "MI",
"license": "LL008800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113128216",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "383170766",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "700H213850",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.