Mark Douglas Lettinga (NPI# 1609223767, PAC ID# 2961744040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1609223767 |
| PAC ID by PECOS | 2961744040 |
| Professional Enrollment ID | I20190730003418 |
| Full Name | Mark Douglas Lettinga |
| Organization Legal Name | LAFAYETTE EMERGENCY CARE PC |
| Address |
5165 Mccarty Ln Lafayette IN 47905-8764 |
| Phone Number | 8008998448 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9830189240 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150173 | INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 8008998448 | LAFAYETTE EMERGENCY CARE PC |
| Organization Legal Name | LAFAYETTE EMERGENCY CARE PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody F Craigin | Nurse Practitioner | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Mallory C Cross | Physician Assistant | Lafayette Emergency Care PC | 950 Park E Blvd, Lafayette, IN 47905-0792 |
| Catherine Michelle Sternberg | Emergency Medicine | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Alexander T Pingree | Emergency Medicine | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Chelsea L Taulman | Nurse Practitioner | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Jonathon L Christiansen | Physician Assistant | Lafayette Emergency Care PC | 950 Park E Blvd, Lafayette, IN 47905-0792 |
| Meghan L Lovellette | Nurse Practitioner | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Jonathan D Alterie | Emergency Medicine | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Street Address |
5165 MCCARTY LN |
| City | LAFAYETTE |
| State | IN |
| Zip | 47905-8764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody F Craigin | Nurse Practitioner | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Patrick J Tangney Sr. | Pulmonary Disease | Arnett Clinic LLC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Catherine Michelle Sternberg | Emergency Medicine | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Alexander T Pingree | Emergency Medicine | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Alisha Rockette | Obstetrics/gynecology | Arnett Clinic LLC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Chelsea L Taulman | Nurse Practitioner | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Meghan L Lovellette | Nurse Practitioner | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Jonathan D Alterie | Emergency Medicine | Lafayette Emergency Care PC | 5165 Mccarty Ln, Lafayette, IN 47905-8764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Melissa A Gwin | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Vishal Viswam | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Sonia B Yballe | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Azubike Nwokedi | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Kathleen Jane Halverson | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Timothy Poquette | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Morgan Amelia Mccormick | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Olaniyi O Osuntokun | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Katherine M Hafer | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Find all physicians in zip 47905 | |||
| City | LAFAYETTE |
| Zip Code | 47905 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAFAYETTE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark Douglas Lettinga.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.