DAVID OBER MAGNANTE (NPI# 1255309423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255309423 |
| Entity Type | Individual |
| Full Name | DAVID OBER MAGNANTE |
| Credential | MD |
| Practice Address |
975 Mezzanine Dr Suite B Lafayette IN 47905-8635 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7658077941 |
| Practice Fax Number | 7658077943 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01045133A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000330023 | 01 |
| IN | MEDICARE RAILROAD NUMBER | P00111858 | 01 |
| IN | 200084030 | 05 |
| Street Address |
975 MEZZANINE DR SUITE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-8635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831493279 | Megan C Hebdon | Nurse Practitioner | 975 Mezzanine Dr, Suite C, Lafayette, IN 47905-8635 | 2010-12-28 |
| 1851566491 | Unity Healthcare, LLC | Ophthalmology | 975 Mezzanine Dr, Suite B, Lafayette, IN 47905-8635 | 2008-04-24 |
| 1073548731 | Yolanda Y Gonzalez | Nurse Practitioner | 975 Mezzanine Dr, Suite C, Lafayette, IN 47905-8635 | 2006-07-11 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043653439 | Emily Mcintosh Prouet | Ophthalmology | 155 Hospital Dr Ste 300, Lafayette, LA 70503 | 2013-04-16 |
| 1689930711 | William Manfred Adler | Ophthalmology | 3751 St. Francis Dr., Lafayette, CA 94549 | 2012-04-03 |
| 1295021160 | Kathleen M Williamson | Ophthalmology | 1400 Teal Rd Ste 8, Lafayette, IN 47905-2463 | 2011-06-20 |
| 1316106008 | Mary Summers | Ophthalmology | 5000 Ambassador Caffery Pkwy Bldg 13, Lafayette, LA 70508-6984 | 2008-06-06 |
| 1760649024 | Robert Jackson Courtney | Ophthalmology | 1050 W South Boulder Rd Ste 2100, Lafayette, CO 80026-2818 | 2008-05-22 |
| 1376733634 | Lebanon Eye Associates | Ophthalmology | 1051 Scottsville Rd, Lafayette, TN 37083-2213 | 2007-08-01 |
| 1013125079 | Anu Gupta Desai | Ophthalmology | 155 Hospital Drive, Suite 300, Lafayette, LA 70503 | 2007-05-21 |
| 1447475652 | Julie Larkin Foreman | Ophthalmology | 203 Rue Louis Xiv Ste A, Lafayette, LA 70508-5736 | 2007-04-13 |
| 1619045192 | Douglas S Conard | Ophthalmology | 214 N Farabee Drive, Lafayette, IN 47905 | 2006-12-01 |
| 1265458160 | Rodney B. Kusumi | Ophthalmology | 1013 N 13th St, Lafayette, IN 47904-2011 | 2006-07-14 |
| 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.