Lakeshore Surgical Consultants, PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LAKESHORE SURGICAL CONSULTANTS, PLC

Practice address

5400 Fort St
Suite 200
Trenton, MI 48183-4632

Phone

(734) 250-0610

Fax

(734) 676-4407

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gary Ames Jr.

Title

Treasurer

Phone

(734) 250-0610

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Mary-Margaret Brandt, MD, MHSA

  • Surgical Critical Care Physician
  • Ypsilanti, MI
  • NPI 1053474676

  Surgery

  Medicare reassignment NPD
• Gregory J Cerilli, MD

  • Surgical Critical Care Physician
  • Ypsilanti, MI
  • NPI 1194720284

  Surgery

  Medicare reassignment NPD
• Allan Dana Lamb, D.O.

  • Surgery Physician
  • Trenton, MI
  • NPI 1619946894
  Medicare reassignment NPD

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1912322009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25432 7TH ST",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381808",
            "telephone_number": "734-250-0610",
            "fax_number": "734-676-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 200",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-250-0610",
            "fax_number": "734-676-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE SURGICAL CONSULTANTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "734-250-0610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Matthew Kwolek, D.O.
• Zeina W Laham
• Laird and Laird Surgical Associates, PLLC
• Cristen Lyn Laird, D.O.
• Raymond Laird Jr., D.O.
• Allan Dana Lamb, D.O.
• Seth William Lambert, D.O.
• Deborah Lashuay, M.A., CCC-SLP
• Kaitlyn Lassen
• Ania Lawrence

• Surgery Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.