Organization Active NPI

Lansing Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lansing, MI
National Provider Identifier
1962479014
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
336816 Issued in MI
Legal business name
LANSING SURGERY CENTER
Practice address
1707 Lake Lansing Rd
Lansing, MI 48912-3742
Phone
(517) 267-0033
Fax
(517) 267-0430
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. John Walling, DO
Title
Medical Director
Phone
(517) 267-0033

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) 267-0033

Other identifiers 2

IdentifierTypeStateIssuer
0C37000OtherMIBCBSM 2ND
40354OtherMIBLUE CROSS BLUE SHIELD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0926441Lansing Surgery Center1707 Lake Lansing Road, Lansing, MI 48912Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1962479014",
    "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": "517-267-0033",
            "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": "517-267-0033",
            "fax_number": "517-267-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSING SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "WALLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "517-267-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "336816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM 2ND",
            "identifier": "0C37000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40354",
            "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 Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.