JEFFREY LASTFOGEL


Address: 350 N Meridian St Unit 807, Indianapolis, IN 46204-1773
Phone: 3173746780

JEFFREY LASTFOGEL (NPI# 1548524176) 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) 1548524176
Entity Type Individual
Full Name JEFFREY LASTFOGEL
Credential MD
Practice Address 350 N Meridian St Unit 807
Indianapolis
IN 46204-1773
Practice Telephone 3173746780
Enumeration Date 2012-06-28
Last Update Date 2012-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 11016837A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 350 N MERIDIAN ST UNIT 807
City INDIANAPOLIS
State IN
Zip Code 46204-1773

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NPI Name Taxonomy Address Enumeration
1982245593 Melvin Jay Prince Internal Medicine Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 2019-10-04
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1457853962 Tracie Lynn King Physical Therapy Assistant 500 N Capitol Ave Unit A, Indianapolis, IN 46204 2018-03-01
1013436831 Kayla Michelle Jackson Social Worker 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 2017-09-13
1912434010 Latrice N Baxter Counselor 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 2017-05-19
1750820643 Jcpl, LLC Optometrist 751 Massachusetts Ave, Indianapolis, IN 46204 2017-02-13
1922546969 Makenzie Brinker Specialist/Technologist 800 N. Capital Ave, 420, Indianapolis, IN 46204 2017-02-10
1598118572 Jennifer Clark Internal Medicine 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 2016-07-14
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972162246 Christopher Anthony Lawton Surgery 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 2019-06-11
1013436922 Stephen Neil Quigley Surgery 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 2017-09-12
1881120434 Henry Lee Roberts Surgery 545 Barnhill Dr # 125, Indianapolis, IN 46202 2017-05-02
1407293566 Harry Dwight Brickley Jr. Surgery 1037 Tuckahoe, Indianapolis, IN 46260 2013-05-30
1992044572 John Duncan Macdougall Surgery 7202 Dean Rd, Indianapolis, IN 46240-3628 2013-02-02
1003178898 Kyle Norris Seudeal Surgery 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 2012-06-08
1679832463 Kalyan Chowdary Gorantla Surgery 8402 Harcourt Rd Ste 815, Indianapolis, IN 46260-2057 2012-05-14
1124306824 Amanda Rae Stram Surgery 1426 E Vermont St, Indianapolis, IN 46201-3045 2011-07-28
1790071280 Sanjay Mohanty Surgery 550 University Blvd Ste 1295, Indianapolis, IN 46202-5149 2011-06-22
1417248477 Myungwon Christine Chang Surgery 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256 2011-04-26
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City INDIANAPOLIS
Zip Code 46204

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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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