Active NPI
Lamb Plastic Surgery Center PC
- Plastic and Reconstructive Surgery Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 5261
- Legal business name
- LAMB PLASTIC SURGERY CENTER PC
- Practice address
- 1507 South University Drive
Fargo, ND 58103 - Phone
- (701) 237-9592
- Fax
- (701) 298-3883
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Richard Lamb, MD
- Title
- President
- Phone
- (701) 237-9592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 5261 | ND | Primary |
Addresses
Primary practice location
1507 South University Drive
Fargo, ND 58103
Mailing address
1507 South University Drive
Fargo, ND 58103
Phone (701) 237-9592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 2
Ambulatory surgical center certification: CCN 35C0001012
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Lamb Plastic Surgery Center
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jun 8, 1998
- Last certification
- Mar 12, 2019
- Ownership / control type
- Proprietary
- Facility address
- 1507 S University Dr
Fargo, ND 58103
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D0946443 | Lamb Plastic Surgery Center | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Grand Forks, ND
- NPI 1235542473
-
- Certified Registered Nurse Anesthetist
- Fargo, ND
- NPI 1962517227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310342400000",
"number": "1700907912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 SOUTH UNIVERSITY DRIVE",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-237-9592",
"fax_number": "701-298-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 SOUTH UNIVERSITY DRIVE",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-237-9592",
"fax_number": "701-298-3883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAMB PLASTIC SURGERY CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2011-07-11",
"status": "A",
"authorized_official_last_name": "LAMB",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-237-9592",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "ND",
"license": "5261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.