LAURETTE CHANG (NPI# 1104895978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104895978 |
Entity Type | Individual |
Full Name | LAURETTE CHANG |
Credential | MD |
Practice Address |
2600 Ferry St Lafayette IN 47904-3055 |
Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
Practice Telephone | 7654488335 |
Practice Fax Number | 7654487656 |
Mailing Telephone | 7654488000 |
Mailing Fax Number | 7654488335 |
Enumeration Date | 2006-03-15 |
Last Update Date | 2007-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
01061088A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200530930 | 05 | |
IN | CAQH NUMBER | 10706379 | 01 |
IN | PHCS PID NUMBER | 9286866 | 01 |
IN | ANTHEM PROVIDER NUMBER | 000000372021 | 01 |
Street Address |
2600 FERRY ST |
City | LAFAYETTE |
State | IN |
Zip Code | 47904-3055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174524839 | Eric Marcus Orenstein | Orthopaedic Surgery | 2600 Ferry St, Lafayette, IN 47904-3055 | 2005-08-03 |
1972149359 | Paige Ubel | Occupational Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-11-21 |
1053953695 | Emily Ann Fusiek | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-15 |
1700428836 | Victoria Logan Mccain | Nurse Practitioner | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-10 |
1700361847 | Heather Richey | Physical Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-09-25 |
1588157218 | Shelby Lee Mitchell | Occupational Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-06-07 |
1649760885 | Elaine J Budreau | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904 | 2018-05-14 |
1487172342 | Abhijeet Ahluwalia | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-31 |
1518482603 | Christine Annette Pattison | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-09 |
1013438407 | Pallavi Ram Shinde | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
Find all providers in zip 47904 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720006687 | Paul E Fenn Jr. | Orthopaedic Surgery | 105 Patriot Ave, Suite 101, Lafayette, LA 70508 | 2006-07-18 |
1811994759 | Christopher Hebert | Orthopaedic Surgery | 108 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801235429 | Adam Michael Huff | Orthopaedic Surgery | 1400 N Ritter Ave Ste 510, Indianapolis, IN 46219 | 2013-06-17 |
1366762718 | Advanced Orthopaedic Foot and Ankle Clinic of Indiana Inc | Orthopaedic Surgery | 1438 Aggie Ln, Indianapolis, IN 46260-4098 | 2010-06-08 |
1417287970 | Athelite Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 365 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8361 | 2010-01-06 |
1295908929 | Jeffrey Schabler | Orthopaedic Surgery | 2113 E 62nd St # 210, Indianapolis, IN 46220-2311 | 2008-04-02 |
1407841463 | Wendy K Kennedy | Orthopaedic Surgery | 1024 S 6th St, Suite 102, Terre Haute, IN 47807-5015 | 2005-09-15 |
1205294907 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2016-02-09 |
1003148685 | Medical Specialists Inc., PC | Orthopaedic Surgery | 9034 Columbia Ave, Munster, IN 46321-2905 | 2010-02-05 |
1235462540 | Melanie Sanders | Orthopaedic Surgery | 1199 Hadley Rd, Mooresville, IN 46158-1788 | 2009-09-18 |
1982861522 | James Flynn | Orthopaedic Surgery | 53880 Carmichael Dr, South Bend, IN 46635-1567 | 2008-05-21 |
1588671788 | Steven A Herbst | Orthopaedic Surgery | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-08-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.