LAFAYETTE FAMILY FOOTCARE PC (NPI# 1134311632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134311632 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE FAMILY FOOTCARE PC |
| Practice Address |
3930 Mezzanine Dr Suite B Lafayette IN 47905-8646 |
| Practice Telephone | 7654475001 |
| Practice Fax Number | 7654472926 |
| Mailing Telephone | 7654475001 |
| Mailing Fax Number | 7654472926 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | DR. LAWRENCE VINCENT CONWAY JR. (PODIATRIST) |
| Authorized Official Telephone | 7654475001 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07000493B | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200888240 | 05 |
| Street Address |
3930 MEZZANINE DR SUITE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-8646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235107673 | Krishna Gannamaneni | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2006-03-10 |
| 1528430246 | Unity Healthcare, LLC | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2015-10-21 |
| 1265773402 | Unity Healthcare, LLC | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2013-03-13 |
| 1508851080 | Lawrence Vincent Conway | Podiatrist | 3930 Mezzanine Dr, Suite B, Lafayette, IN 47905-8646 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812455 | Maraist Foot and Ankle Center LLC | Podiatrist | 155 Hospital Dr Ste 203, Lafayette, LA 70503-2852 | 2017-10-24 |
| 1013357714 | Katherine Cummins | Podiatrist | 1345 Unity Pl Ste 225, Lafayette, IN 47905-5762 | 2013-06-27 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1174601264 | Michael W. Colburn | Podiatrist | 911 Moraga Rd Ste 101, Lafayette, CA 94549-4591 | 2006-11-02 |
| 1326130121 | Verne Lawrence Thibodeaux | Podiatrist | 1602 W Pinhook, Suite 100, Lafayette, LA 70508 | 2006-09-29 |
| 1700992187 | Ben A Vierra | Podiatrist | 601 West St Mary Blvd, Ste 106, Lafayette, LA 70506 | 2006-08-21 |
| 1821056128 | Scott Mitchell Beairsto | Podiatrist | 205 Bonaire Dr, Lafayette, LA 70506-6827 | 2006-05-03 |
| 1972571297 | Nicholas P Costidakis | Podiatrist | 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909-9192 | 2006-03-11 |
| 1659378453 | George A Sobiesk | Podiatrist | 4809 Ambassador Caffery Pkwy, Suite 200, Lafayette, LA 70508-6917 | 2005-07-07 |
| 1790963197 | Unity Healthcare, LLC | Podiatrist | 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909-9192 | 2008-02-07 |
| Find all providers in LAFAYETTE | ||||
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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.