Active NPI
Lansing Surgical Associates, P.L.L.C.
- Surgery Physician
- Lansing, MI
National Provider Identifier
1801907944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MJ010550
- Legal business name
- LANSING SURGICAL ASSOCIATES, P.L.L.C.
- Practice address
- 2720 S Washington Ave
Suite 300
Lansing, MI 48910-2873 - Phone
- (517) 487-8255
- Fax
- (517) 487-2059
- NPI assigned
- Aug 31, 2006
- 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. Mark Wayne Jones, DO
- Title
- President
- Phone
- (517) 487-8255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MJ010550 | MI | Primary |
Addresses
Primary practice location
2720 S Washington Ave
Suite 300
Lansing, MI 48910-2873
Mailing address
2720 S Washington Ave
Suite 300
Lansing, MI 48910-2873
Phone (517) 487-8255
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4908848 | Medicaid | MI | |
| 1020399 | Other | MI | MCLAREN |
| 5331174 | Other | MI | BCBSM |
| 0253311744 | Other | MI | BCBSM |
| 200000002185 | Other | MI | PHYSICIANS HEALTH PLAN |
| P00397821 | Other | MI | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060928000230 | MI | Part B Supplier - Clinic/Group Practice | 7517962434 |
Receives reassigned benefits from 3 practitioners Practice locations: Lansing, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1801907944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 S WASHINGTON AVE",
"address_2": "SUITE 300",
"city": "LANSING",
"state": "MI",
"postal_code": "489102873",
"telephone_number": "517-487-8255",
"fax_number": "517-487-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 S WASHINGTON AVE",
"address_2": "SUITE 300",
"city": "LANSING",
"state": "MI",
"postal_code": "489102873",
"telephone_number": "517-487-8255",
"fax_number": "517-487-2059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANSING SURGICAL ASSOCIATES, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-487-8255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "MJ010550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4908848",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN",
"identifier": "1020399",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "5331174",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0253311744",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "200000002185",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00397821",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.