LAFAYETTE NEONATAL ASSOCIATES PC (NPI# 1669636064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669636064 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE NEONATAL ASSOCIATES PC |
| Practice Address |
2400 South St Lafayette IN 47904-3027 |
| Mailing Address |
2304 Kossuth St Lafayette IN 47904-3240 |
| Practice Telephone | 7654469600 |
| Mailing Telephone | 7654469600 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | NICOLE K HAYES (BILLING CLERK) |
| Authorized Official Telephone | 7654469600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01034719A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100385780A | 05 |
| Street Address |
2400 SOUTH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650180 | Kenneth Gerald Fortress | Pathology | 2400 South St, Lafayette, IN 47904-3027 | 2005-06-27 |
| 1245569862 | Unity Healthcare, LLC | Anesthesiology | 2400 South St, Lafayette, IN 47904-3027 | 2009-12-10 |
| 1063632024 | Corry Lynn Voll | Occupational Therapist | 2400 South St, Home Hospital Rehabilitation Unit, Lafayette, IN 47904-3027 | 2007-05-01 |
| 1720108574 | North Central Health Services Inc. | Clinic/Center | 2400 South St, Lafayette, IN 47904-3027 | 2007-03-29 |
| 1003970971 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 2400 South St, Lafayette, IN 47904-3027 | 2006-12-21 |
| 1073686796 | Shannon Lyn Carroll | Dietitian, Registered | 2400 South St, Greater Lafayette Health Services Food and Nutrition, Lafayette, IN 47904-3027 | 2006-11-17 |
| 1922108133 | Robert Eugene Tipton | Pediatrics | 2400 South St, Home Hospital, Lafayette, IN 47904 | 2006-09-25 |
| 1518063452 | Rosario N Chua | Pediatrics | 2400 South St, Lafayette Home Hospital, Lafayette, IN 47904 | 2006-09-16 |
| 1134162274 | Jan Fisher | Anesthesiology | 2400 South St, Lafayette, IN 47904-3027 | 2006-06-14 |
| 1477507416 | Sameer Bhatia | Radiology | 2400 South St, Lafayette, IN 47904-3027 | 2006-05-22 |
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699839902 | Jennifer Almacen Bisquera | Pediatrics | 100 Asma Boulevard, Suite 385, Lafayette, LA 70508 | 2006-12-20 |
| 1306868310 | Sarita Sharma-choudry | Pediatrics | Lsu Neonatology, 2390 W Congress Street, Lafayette, LA 70506 | 2006-07-25 |
| 1659391506 | Gregory Robert Warda | Pediatrics | 2304 Kossuth St, Billing Office, Lafayette, IN 47904-3240 | 2006-07-20 |
| 1902868581 | Jim G. Adams | Pediatrics | 107 Montrose Avenue, Suite D, Lafayette, LA 70503 | 2006-04-06 |
| 1134519911 | Rikizam Magada Joya | Pediatrics | 2304 Kossuth St, Lafayette, IN 47904-3240 | 2015-01-30 |
| 1508129792 | Muralidhara R Devarapalli | Pediatrics | 100 Asma Boulevard, Suite 385, Lafayette, LA 70508 | 2012-06-21 |
| 1245541341 | Harshit Doshi | Pediatrics | 4600 Ambassador Caffery Pkwy, Nicu, Lafayette, LA 70508-6902 | 2010-06-23 |
| 1629250618 | Westcentral Indiana Neonatal Group | Pediatrics | 501 N 3rd St, Lafayette, IN 47901-1001 | 2007-11-30 |
| 1538248901 | William Smalling | Pediatrics | 1214 Coolidge Street, Lafayette, LA 70503 | 2006-11-04 |
| 1396833109 | Bryan D Beaver | Pediatrics | 2304 Kossuth St, Lafayette, IN 47904-3240 | 2006-10-10 |
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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.