JOHN M GORUP (NPI# 1215906029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215906029 |
| Entity Type | Individual |
| Full Name | JOHN M GORUP |
| Credential | MD |
| Practice Address |
1345 Unity Place Suite 310 Lafayette IN 47905-5769 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7654465215 |
| Practice Fax Number | 7654465211 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
01046921A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000110519 | 01 |
| IN | RAILROAD MEDICARE | 200029859 | 01 |
| IN | 200146050 | 05 |
| Street Address |
1345 UNITY PLACE SUITE 310 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-5769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144592684 | Lisa C Ramsey | Specialist/Technologist, Other | 1345 Unity Place, Suite 235, Lafayette, IN 47905-5761 | 2012-01-30 |
| 1326343849 | Gayle A Biggs | Specialist/Technologist, Other | 1345 Unity Place, Suite 235, Lafayette, IN 47905-5761 | 2011-01-13 |
| 1780818062 | Wendy J Gutwein | Nurse Practitioner | 1345 Unity Place, Suite 145a, Lafayette, IN 47905-5771 | 2009-05-14 |
| 1871782169 | Unity Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1345 Unity Place, Suite 225, Lafayette, IN 47905-5762 | 2007-10-23 |
| 1730149261 | William K Oliver IIi | Podiatrist | 1345 Unity Place, Suite 225, Lafayette, IN 47905-5762 | 2006-03-27 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982744595 | Mark Mcdonnell | Orthopaedic Surgery | 1103 Kaliste Saloom Rd Ste 310, Lafayette, LA 70508-5784 | 2007-02-06 |
| 1770738312 | Lon Michael Baronne II | Orthopaedic Surgery | 108 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2008-11-24 |
| 1487815585 | Louisiana Spine Surgery | Orthopaedic Surgery | 113 Saint Thomas St, Suite D, Lafayette, LA 70506-4575 | 2008-06-20 |
| 1588837058 | Unity Healthcare LLC | Orthopaedic Surgery | 1345 Unity Pl, Suite 310, Lafayette, IN 47905-5769 | 2008-04-07 |
| 1720176514 | Neil Cameron Romero | Orthopaedic Surgery | 108 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2006-10-10 |
| 1669428645 | Mario P Brkaric | Orthopaedic Surgery | 1345 Unity Pl, Suite 310, Lafayette, IN 47905-5769 | 2006-05-25 |
| 1639120918 | Unity Healthcare, LLC | Orthopaedic Surgery | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548768815 | Spine Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1265, Indianapolis, IN 46204-3250 | 2018-01-31 |
| 1174021950 | Joint Replacement Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1272, Indianapolis, IN 46204-3250 | 2018-01-26 |
| 1508220633 | Indiana Spine Group, PC | Orthopaedic Surgery | 747 E. County Line Rd., Suite L, Greenwood, IN 46143-1082 | 2016-04-05 |
| 1144667635 | Indiana Spine Group, PC | Orthopaedic Surgery | 1115 N. Ronald Reagan Pkwy., Suite 148, Avon, IN 46123-6913 | 2013-05-24 |
| 1457534497 | Orthopaedic Spine Center PC | Orthopaedic Surgery | 5255 E.stop 11 Road, Suite 250, Indianapolis, IN 46237-6343 | 2007-12-13 |
| 1689872152 | Spine & Musculoskeletal Center PC | Orthopaedic Surgery | 2020 E Columbus Drive, Suite B, East Chicago, IN 46312-3078 | 2007-07-06 |
| 1366654410 | Michael J. Hartman, Md, PC | Orthopaedic Surgery | 801 Mac Arthur Blvd, Suite 304, Munster, IN 46321 | 2007-05-03 |
| 1356485825 | Southern Indiana Orthopedics, Inc | Orthopaedic Surgery | 633 East Tipton, Seymour, IN 47274-2192 | 2007-02-17 |
| 1851494371 | Northwest Indiana Spinal Surgery, P.C. | Orthopaedic Surgery | 9235 Broadway, Merrillville, IN 46410-7046 | 2006-09-07 |
| 1407898570 | Gregory S. Hellwarth | Orthopaedic Surgery | 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
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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.