DR. ALAYNE K SUNDSTROM (NPI# 1932196870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932196870 |
| Entity Type | Individual |
| Full Name | DR. ALAYNE K SUNDSTROM |
| Credential | DO |
| Practice Address |
601 Stadium Mall Dr West Lafayette IN 47907-2052 |
| Practice Telephone | 7654941700 |
| Practice Fax Number | 7654961227 |
| Mailing Telephone | 7654941700 |
| Mailing Fax Number | 7654961227 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 34-00-7104-S | OH | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 02002982A | IN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 99017807A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
601 STADIUM MALL DR |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47907-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134116767 | Leslie D Lester | Nurse Practitioner | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-09-29 |
| 1730724295 | Brittany Lynn Perry | Registered Nurse | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2019-11-08 |
| 1679070924 | Andrew Mark Zaitsoff | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-04-11 |
| 1477058642 | Karen Elaine Westfall Collier | Counselor | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-03-28 |
| 1689172702 | Zhen Li | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-01-23 |
| 1720586936 | Laura Lee Wagner | Counselor | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-01-23 |
| 1831625672 | Jacqueline Brown | Nurse Practitioner | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2017-05-11 |
| 1114309655 | Yun Cai | Nurse Practitioner | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2015-06-21 |
| 1487055422 | Luis Javier Balcazar Jr. | Social Worker | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2014-09-09 |
| 1497182935 | Susan Lynn Prieto-welch | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2013-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274464 | Christine Michelle Jones | Nurse Practitioner | Lyles-porter Hall 715 Clinic Drive, West Lafayette, IN 47907 | 2020-01-15 |
| 1013415033 | Brianna Johnson | Psychologist | 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 | 2018-01-24 |
| 1285095885 | Christina Ellen Manfred | Nurse Practitioner | 601 W. Stadium Ave, West Lafayette, IN 47907 | 2016-03-10 |
| 1265612626 | Anu Subramanian | Speech-Language Pathologist | 500 Oval Drive Purdue University, Dept of Speech Language and Hearing Sciences, West Lafayette, IN 47907 | 2007-11-13 |
| 1720163348 | Andrea Lynn Lopez | Specialist/Technologist | 900 N. University Ave, Room B63, West Lafayette, IN 47907 | 2006-10-25 |
| 1912914680 | Jeanette Stone Leonard | Audiologist | 715 Clinic Drive, Purdue University, West Lafayette, IN 47907 | 2006-08-02 |
| 1447224977 | Lindsey Ann Watson | Specialist/Technologist | 900 N University Dr, Mackey Arena, Room B60, West Lafayette, IN 47907 | 2006-02-13 |
| 1992280960 | Carol Callahan Lancaster | Nurse Practitioner | 601 Stadium Mall Drive, West Lafayette, IN 47907 | 2018-09-26 |
| 1104314046 | Lukas Micheal Passalacqua | Specialist/Technologist | 900 N John R Wooden Dr, West Lafayette, IN 47907 | 2018-04-26 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| Find all providers in zip 47907 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306196282 | Chs Indiana Medical, P.C. | General Practice | 1400 W State St, West Lafayette, IN 47906-3438 | 2012-09-18 |
| 1215925466 | Edward J Hoskins | General Practice | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-10-12 |
| 1871581108 | Balazs I Hatvani | General Practice | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-10-11 |
| 1093702839 | Ruth S Oconnor | General Practice | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-10-05 |
| 1902893746 | Ruth C Osborne | General Practice | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-10-05 |
| 1205823143 | Jean N Perrin | General Practice | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-10-05 |
| 1841287786 | William Rodney Flanary | General Practice | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-10-05 |
| 1669469409 | Charles W Hewson | General Practice | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-10-05 |
| 1225025018 | Sarah A Sayger | General Practice | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-10-05 |
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| City | WEST LAFAYETTE |
| Zip Code | 47907 |
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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.