MARK C. PAGE (NPI# 1073582573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073582573 |
| Entity Type | Individual |
| Full Name | MARK C. PAGE |
| Credential | MD |
| Practice Address |
1411 S Creasy Ln Suite 120 Lafayette IN 47905-7438 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7654474165 |
| Practice Fax Number | 7654474168 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 01050918A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000593072 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114008844 | Mark E Page | Dentist | 1808 Verdugo Blvd Ste 207, Glendale, CA 91208-1414 | 2006-10-18 |
| 1578561270 | Mark Joseph Page | Optometrist | 15215 S 48th St, Suite # 180, Phoenix, AZ 85044-9142 | 2005-07-07 |
| 1598211930 | Mark Page | Pharmacist | 82270 Us Highway 111, Indio, CA 92201-5651 | 2016-08-26 |
| 1427309699 | Mark Page | Radiology | 1275 York Ave, Radiology Department, New York, NY 10065-6007 | 2012-09-27 |
| Street Address |
1411 S CREASY LN SUITE 120 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095769 | Michael D Krauss | Internal Medicine | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2005-10-05 |
| 1174058507 | Lisa M Smith | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2017-04-24 |
| 1255887600 | Emily Martin | Physical Therapy Assistant | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-08-26 |
| 1881148708 | Rebecah Gray | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2016-08-09 |
| 1306294772 | Erica Zartman | Physical Therapist | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-05-26 |
| 1689053779 | Gusta Michelle Owens | Specialist/Technologist | 1411 S Creasy Ln, Ste 120, Lafayette, IN 47905-7438 | 2015-05-22 |
| 1285024273 | Mary Ritter | Occupational Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2015-01-28 |
| 1275933707 | Danielle Smith Amos | Physical Therapy Assistant | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-09-03 |
| 1275957938 | Sara E Blasing | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-02-14 |
| 1144642612 | Jessica Baumetz Dpt | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041954 | James R Lafleur | Orthopaedic Surgery | 122 Wembley Rd, Lafayette, LA 70503-3567 | 2019-12-23 |
| 1508285388 | Paul Rodenhouse | Orthopaedic Surgery | 1411 S Creasy Ln Ste 120, Lafayette, IN 47905-7433 | 2014-04-09 |
| 1710230677 | Walter Thomas Gilsdorf | Orthopaedic Surgery | 2026 Skyhigh Rd., Lafayette, NY 13084 | 2012-10-17 |
| 1316210487 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 2403 Loy Drive, Suite 204, Lafayette, IN 47909-2701 | 2012-02-20 |
| 1194803155 | James Charles Mcdaniel | Orthopaedic Surgery | 309 St Julien Avenue, Suite 300, Lafayette, LA 70506-4655 | 2006-11-01 |
| 1457398224 | Kenneth M Caldwell | Orthopaedic Surgery | 3717 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-3547 | 2006-06-01 |
| 1881641678 | Giles C Floyd | Orthopaedic Surgery | 37 Jennifer Highlands Ct, Lafayette, CA 94549-1739 | 2006-05-28 |
| 1548230048 | Peter D Vizzi | Orthopaedic Surgery | 1301 Camellia Blvd, Suite 102, Lafayette, LA 70508-7089 | 2006-01-25 |
| 1174524839 | Eric Marcus Orenstein | Orthopaedic Surgery | 2600 Ferry St, Lafayette, IN 47904-3055 | 2005-08-03 |
| 1730189580 | Louis Charles Blanda Jr. | Orthopaedic Surgery | 1103 Kaliste Saloom Road, Suite 100, Lafayette, LA 70508-2636 | 2005-07-22 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on MARK C. PAGE.
| 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.