LAFAYETTE OTOLARYNGOLOGY ASSOCIATES, INC (NPI# 1720157951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720157951 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE OTOLARYNGOLOGY ASSOCIATES, INC |
| Other Organization Name | LAFAYETTE ENT |
| Practice Address |
2320 Concord Rd Lafayette IN 47909-2708 |
| Practice Telephone | 7654777436 |
| Practice Fax Number | 7654771245 |
| Mailing Telephone | 7654777436 |
| Mailing Fax Number | 7654771245 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | RUTH M RODEHAN (OFFICE MANAGER) |
| Authorized Official Telephone | 7654777436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200274580A | 05 |
| Other Name | Type Code |
|---|---|
| Lafayette ENT | Doing Business As Name - Organization |
| Street Address |
2320 CONCORD RD |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47909-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816307 | Sagamore Surgical Services, Inc. | Clinic/Center | 2320 Concord Rd, Ste B, Lafayette, IN 47909-2708 | 2005-07-28 |
| 1164744637 | Audio Diagnostics II Inc | Hearing Aid Equipment | 2320 Concord Rd, Suite B, Lafayette, IN 47909-2710 | 2010-02-24 |
| 1275774945 | Christine A Campbell | Audiologist | 2320 Concord Rd, C/o Lafayette Ent, Lafayette, IN 47909-2710 | 2009-03-10 |
| 1316026545 | Peter J Hillsamer | Otolaryngology | 2320 Concord Rd, Lafayette, IN 47909-2708 | 2006-11-06 |
| 1831278068 | Daniel R Berner | Otolaryngology | 2320 Concord Rd, Lafayette, IN 47909-2708 | 2006-11-06 |
| 1366527152 | Kelly Jo Todd | Audiologist | 2320 Concord Rd, Lafayette, IN 47909-2708 | 2006-10-27 |
| 1467412163 | Patrick R O'neil | Anesthesiology | 2320 Concord Rd, Suite C, Lafayette, IN 47909-2708 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285135244 | Glasswater Creek of Lafayette, LLC | Assisted Living Facility | 208 Beck Ln, Lafayette, IN 47909 | 2018-02-26 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 1013394709 | Todd Hardin | Dentist | 2 Walter Scholer Drive, Lafayette, IN 47909 | 2015-05-01 |
| 1801296967 | Lacey Hintz | Occupational Therapy Assistant | 2308 Edgelea Dr, Lafayette, IN 47909 | 2014-08-26 |
| 1457691180 | Alicia A Duncan | Lactation Consultant, Non-RN | 207 Buckingham Drive, Lafayette, IN 47909 | 2013-02-16 |
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1952553448 | Regina R Pilotte | Occupational Therapist | 3864 East 500 South, Lafayette, IN 47909 | 2008-10-16 |
| 1811182405 | Assisted Living Concepts Inc | Assisted Living Facility | 167 West 240 South, Lafayette, IN 47909 | 2007-09-07 |
| 1073716585 | Julia Ann Dillon | Counselor | 3554 Promenade Pkwy Ste E, Lafayette, IN 47909 | 2007-06-11 |
| 1639291503 | Winifred A. Landis | Pharmacist | 2806 Us 231 South, Lafayette, IN 47909 | 2007-04-04 |
| Find all providers in zip 47909 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295956 | David Joseph Trout | Otolaryngology | 816 Lazy Ln, Lafayette, IN 47904-2722 | 2017-06-27 |
| 1184966962 | Rachel Alice Barry | Otolaryngology | 4212 W Congress St Ste 1500, Lafayette, LA 70506 | 2013-03-20 |
| 1548552094 | Adam Luke Honeybrook | Otolaryngology | 1103 Kaliste Saloom Rd Ste 300, Lafayette, LA 70508-5784 | 2011-05-03 |
| 1992985923 | Lamorinda Ent Face & Neck Surgery Inc | Otolaryngology | 911 Moraga Road, Suite 102, Lafayette, CA 94549-4591 | 2007-11-07 |
| 1861453201 | Acadiana Otolaryngology Head and Neck Surgery LLC | Otolaryngology | 515 S College Rd, Suite 255, Lafayette, LA 70503-3352 | 2006-03-28 |
| 1245209899 | Lisa B David | Otolaryngology | 109 Rue Fountaine, Lafayette, LA 70508-5744 | 2006-03-16 |
| 1730158320 | David J Foreman | Otolaryngology | 1039 Camellia Blvd, Lafayette, LA 70508-6679 | 2006-03-16 |
| 1013986090 | Carl B Alldredge | Otolaryngology | 225 Bendel Rd, Lafayette, LA 70503-2903 | 2006-03-14 |
| 1710985049 | Michael Todd Griffin | Otolaryngology | 1000 W Pinhook Rd Ste 201, Lafayette, LA 70503-2464 | 2005-07-11 |
| 1881972735 | Kenneth L. Odinet, Jr., D.d.s., M.d., Apmc | Otolaryngology | 200 Beaullieu Dr, Bldg. 6, Lafayette, LA 70508-7230 | 2011-07-26 |
| 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.