Organization Active NPI

Lamb Plastic Surgery Center PC

  • Plastic and Reconstructive Surgery Physician
  • Fargo, ND
National Provider Identifier
1700907912
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
5261 Issued in ND
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

Updated by the provider on Jul 11, 2011

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041006000594 ND Part B Supplier - Clinic/Group Practice 6901865948 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND
O20080604000082 ND Part B Supplier - Ambulatory Surgical Center 6901865948 Practice locations: Fargo, ND

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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0946443Lamb Plastic Surgery Center1507 S University Dr, Fargo, ND 58103Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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

Verify at the official NPI Registry.