Organization Active NPI

Lasante Inc

  • Orthopaedic Surgery Physician
  • Springfield, IL
National Provider Identifier
1760792329
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LASANTE INC
Practice address
4936 Laverna Road
Springfield, IL 62707-9797
Phone
(217) 523-4747
Fax
(217) 523-0542
NPI assigned
Oct 18, 2010
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Frank L Mikell, MD
Title
Ceo
Phone
(217) 523-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

4936 Laverna Road
Springfield, IL 62707-9797

Mailing address

4936 Laverna Road
Springfield, IL 62707-9797
Phone (217) 523-4747

National Provider Directory

National Provider Directory

Locations

4936 Laverna Rd
Springfield, IL 62707
Phone (217) 523-4747

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1760792329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 LAVERNA ROAD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627079797",
            "telephone_number": "217-523-4747",
            "fax_number": "217-523-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 LAVERNA ROAD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627079797",
            "telephone_number": "217-523-4747",
            "fax_number": "217-523-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASANTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "MIKELL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-523-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.