SHAZIA MERAJ SIDDIQUI (NPI# 1629001680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629001680 |
| Entity Type | Individual |
| Full Name | SHAZIA MERAJ SIDDIQUI |
| Credential | MD |
| Practice Address |
770 Park East Blvd Suite B Lafayette IN 47905 |
| Mailing Address |
Po Box 5748 Lafayette IN 47903-5748 |
| Practice Telephone | 7657144344 |
| Practice Fax Number | 7658383200 |
| Mailing Telephone | 7657144344 |
| Mailing Fax Number | 7658383200 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
01059790A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201148960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538421029 | Shazia Siddiqui | Family Medicine | 1900 10th Ave, Suite 100, Columbus, GA 31901-1634 | 2012-06-12 |
| Street Address |
770 PARK EAST BLVD SUITE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447612114 | Lpc Surgery Center LLC | Clinic/Center | 770 Park East Blvd, Suite A, Lafayette, IN 47905-0786 | 2016-03-22 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710282439 | Unity Healthcare, LLC | Anesthesiology | 3738 Landmark Drive, Suite A, Lafayette, IN 47905-6633 | 2011-01-12 |
| 1720160229 | Pain Partners Md LLC | Anesthesiology | 380 Empire Road, Suite 200, Lafayette, CO 80026 | 2006-10-20 |
| 1629184635 | Doreen T. Abadco | Anesthesiology | 114 Hospital Dr, Lafayette, LA 70503-2825 | 2006-08-22 |
| 1508265638 | Michael S Haydel Md Apmc | Anesthesiology | 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 | 2014-08-14 |
| 1740691831 | James Grant Rabalais | Anesthesiology | 1103 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5784 | 2014-05-12 |
| 1346564366 | Keri Copponex | Anesthesiology | 4212 W Congress St, Lafayette, LA 70506-6765 | 2010-03-19 |
| 1376716761 | Conservative Medical Management A | Anesthesiology | 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 | 2008-04-08 |
| 1912058215 | Pioneer Anesthesia and Pain Associates, L.L.C. | Anesthesiology | 114 Hospital Dr, Lafayette, LA 70503-2825 | 2007-01-15 |
| 1770656332 | David C Miller | Anesthesiology | 3738 Landmark Dr Ste A, Lafayette, IN 47905 | 2006-11-15 |
| 1669589164 | Joseph T Gillespie | Anesthesiology | 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 | 2006-08-23 |
| 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.