Organization Active NPI

Lansing Surgical Associates, P.L.L.C.

  • Surgery Physician
  • Lansing, MI
National Provider Identifier
1801907944
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MJ010550 Issued in MI
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

Updated by the provider on Apr 20, 2010

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4908848MedicaidMI
1020399OtherMIMCLAREN
5331174OtherMIBCBSM
0253311744OtherMIBCBSM
200000002185OtherMIPHYSICIANS HEALTH PLAN
P00397821OtherMIMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060928000230 MI Part B Supplier - Clinic/Group Practice 7517962434 Receives reassigned benefits from 3 practitioners
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.