NPIMap

Organization Active NPI

Lake Lansing ASC Partners LLC

  • Ambulatory Surgical Clinic/Center
  • Lansing, MI
National Provider Identifier
1790886372
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
336816 Issued in MI
Legal business name
LAKE LANSING ASC PARTNERS LLC
Practice address
1707 Lake Lansing Rd
Lansing, MI 48912-3742
Phone
(517) 708-3333
Fax
(517) 267-0430
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Jennifer McDonald
Title
Business Manager
Phone
(517) 252-8698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 336816 MI Primary

Addresses

Primary practice location

1707 Lake Lansing Rd
Lansing, MI 48912-3742

Mailing address

1707 Lake Lansing Rd
Lansing, MI 48912-3742
Phone (517) 708-3333

Other identifiers 3

IdentifierTypeStateIssuer
2261878MedicaidMI
40023OtherMIBLUE CROSS BLUE SHIELD MI
P00683991OtherMIRAILROAD MEDICARE

Other names 1

  • Lansing Surgical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070201000584 MI Part B Supplier - Ambulatory Surgical Center 9537161625 Practice locations: Lansing, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Lake Lansing ASC Partners LLCCCN 23C0001027
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1790886372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123742",
            "telephone_number": "517-708-3333",
            "fax_number": "517-267-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123742",
            "telephone_number": "517-708-3333",
            "fax_number": "517-267-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE LANSING ASC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "517-252-8698"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "336816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2261878",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "40023",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00683991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansing Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.