CHENG DU (NPI# 1245209246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245209246 |
| Entity Type | Individual |
| Full Name | CHENG DU |
| Credential | MD |
| Practice Address |
2600 Ferry St Lafayette IN 47904-3055 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 6099333687 |
| Mailing Telephone | 3175284800 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA09009900 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01055815A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200376880 | 05 | |
| IN | CAQH NUMBER | 11383713 | 01 |
| IN | PHCS PID NUMBER | 9396994 | 01 |
| IN | ANTHEM PROVIDER NUMBER | 000000221796 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 468451673 | 2604256780 | 2604256789 |
| 1201 S Main St, Crown Point, IN 463078481 | 2197382100 | |
| 2600 Ferry St, Lafayette, IN 479043055 | 6099333687 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548826803 | Brainwire LLC | Psychiatry & Neurology | 128 Keeneland Ln, Lafayette, LA 70503-6213 | 2019-05-13 |
| 1518385137 | Jonathan Kahn Jones | Psychiatry & Neurology | 4809 Ambassador Caffery Pkwy Ste 420, Lafayette, LA 70508-8802 | 2014-04-01 |
| 1114248994 | Stanley George Strauss | Psychiatry & Neurology | 2383 Lavender Hill Ln, Lafayette, CO 80026-9387 | 2010-06-16 |
| 1982806402 | Khaled Hammoud | Psychiatry & Neurology | 975 Mezzanine Dr Ste C, Lafayette, IN 47905-8635 | 2007-06-05 |
| 1104033992 | Damon Patterson | Psychiatry & Neurology | 136 Hospital Dr, Lafayette, LA 70503-2819 | 2007-05-17 |
| 1790815322 | Albert C Lee | Psychiatry & Neurology | 3731 Rome Dr, A, Lafayette, IN 47905-4490 | 2007-03-06 |
| 1649332248 | Lafayette Health Ventures, Inc. | Psychiatry & Neurology | 155 Hospital Dr., Ste #208, Lafayette, LA 70503 | 2006-12-14 |
| 1073531257 | Samuel Horton | Psychiatry & Neurology | 3750 Landmark Dr, Suite A, Lafayette, IN 47905-6633 | 2006-07-17 |
| 1154383313 | Wael Alabdulkarim | Psychiatry & Neurology | 1144 Coolidge Blvd Ste F, Lafayette, LA 70503-2622 | 2006-04-04 |
| 1063485936 | Ernest Edward Nitka | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2006-02-09 |
| 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.