LAURETTE CHANG


Address: 2600 Ferry St, Lafayette, IN 47904-3055
Phone: 7654488335

LAURETTE CHANG (NPI# 1104895978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
01061088A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 2600 FERRY ST
City LAFAYETTE
State IN
Zip Code 47904-3055

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City LAFAYETTE
Zip Code 47904

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Dataset Information

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.

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