DESTRY W LAMBERT MD INC (NPI# 1033392808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033392808 |
Entity Type | Organization |
Organization Name | DESTRY W LAMBERT MD INC |
Practice Address |
403 Fairgrounds Rd Tipton IN 46072-9596 |
Practice Telephone | 7656757601 |
Practice Fax Number | 7656758052 |
Mailing Telephone | 7656757601 |
Mailing Fax Number | 7656758052 |
Enumeration Date | 2007-12-14 |
Last Update Date | 2007-12-14 |
Authorized Official Name | MRS. LINNIE JEAN ROGERS (OFC MGN) |
Authorized Official Telephone | 7656757601 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
01024399 | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100233710 | 05 |
Street Address |
403 FAIRGROUNDS RD |
City | TIPTON |
State | IN |
Zip Code | 46072-9596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427047950 | Destry W Lambert | General Practice | 403 Fairgrounds Rd, Tipton, IN 46072-9596 | 2005-10-18 |
1295080620 | Addison Haynes | Family Medicine | 403 Fairgrounds Rd, Tipton, IN 46072-9596 | 2012-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235522863 | Christopher Anderson | Specialist/Technologist | 5580 St Rd 28, Tipton, IN 46072 | 2015-03-06 |
1205189347 | Christopher Tyler Smith | Physical Therapist | 1010 S Main St Ste 100, Tipton, IN 46072 | 2012-10-25 |
1750595765 | Indiana Health Centers, Inc. | Public Health or Welfare | Tipton County Wic Program, 119 West Washington Street, Tipton, IN 46072 | 2007-05-09 |
1700943156 | Michael E Harper Md PC | Family Medicine | 410 Fairgrounds Rd, Tipton, IN 46072 | 2007-01-03 |
1831158252 | Kevin R Worth | Optometrist | 214 E Jefferson St, Tipton, IN 46072 | 2006-03-23 |
1619137239 | Adam T Garner | Optometrist | 215 E Jefferson St, Tipton, IN 46072 | 2008-06-17 |
1831217918 | Tracey Powell | Chiropractor | 932 N Main St, Tipton, IN 46072-1047 | 2007-03-27 |
1538170840 | Cicero Township Volunteer Fire Department | Ambulance | 750 Development Dr, Tipton, IN 46072-1072 | 2006-08-11 |
1720243330 | Mary Delph | Physical Therapy Assistant | 433 Maple St, Tipton, IN 46072-1518 | 2008-07-23 |
1992702971 | Jeffrey L Tweedy | Optometrist | 132 N Main St, Tipton, IN 46072-1603 | 2005-07-05 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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.