GREATER LAFAYETTE HEALTH SERVICES (NPI# 1255529335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255529335 |
| Entity Type | Organization |
| Organization Name | GREATER LAFAYETTE HEALTH SERVICES |
| Other Organization Name | INNERVISION WEST |
| Practice Address |
3482 Mcclure Ave West Lafayette IN 47906 |
| Practice Telephone | 7654477447 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | MR. TERRANCE E WILSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7654236161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000311919 | 01 |
| Other Name | Type Code |
|---|---|
| Innervision West | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396044392 | Greater Lafayette Health Services | Durable Medical Equipment & Medical Supplies | 1260 N 17th St, Lafayette, IN 47904-2163 | 2011-03-17 |
| 1609968254 | Greater Lafayette Health Services | Clinic/Center | 1000 North 18th Street, Lafayette, IN 47904 | 2006-09-29 |
| 1003915455 | Greater Lafayette Health Services | Clinic/Center | 1017 O Connor Blvd, Monticello, IN 47960-1600 | 2006-09-22 |
| 1093013393 | Greater Lafayette Health Services | Durable Medical Equipment & Medical Supplies | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2011-03-10 |
| 1265763742 | Greater Lafayette Health Services | Pharmacy | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2010-01-22 |
| 1508935552 | Greater Lafayette Health Services | Clinic/Center | 1425 Unity Pl, Lafayette, IN 47905-5756 | 2006-11-06 |
| 1710065750 | Greater Lafayette Health Services | Clinic/Center | 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7438 | 2006-11-01 |
| 1982782934 | Greater Lafayette Health Services | Clinic/Center | 1345 Unity Pl, Suite 235, Lafayette, IN 47905-5760 | 2006-11-01 |
| 1285733584 | Greater Lafayette Health Services | Clinic/Center | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2006-09-22 |
| 1851498075 | Greater Lafayette Health Services | Clinic/Center | 1300 S Jackson St, Frankfort, IN 46041-3313 | 2006-09-20 |
| Street Address |
3482 MCCLURE AVE |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309177 | Zayra J Castillo | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-06-02 |
| 1326672056 | Sophia Hufnagel | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-03-03 |
| 1578196838 | Ellen Thang | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-02-14 |
| 1376174029 | Yves Phillipe Sallade | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2020-01-31 |
| 1245874031 | Sarah Glenn | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2019-11-05 |
| 1689218836 | Ellen Marie Brooks | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2019-10-31 |
| 1568006708 | Kelcie Lewis | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2019-10-31 |
| 1174025092 | Kathryn Kintner | Behavioral Analyst | 3482 Mcclure Ave, West Lafayette, IN 47906-4164 | 2018-03-07 |
| 1710436944 | Madison Logan | Speech-Language Pathologist | 3482 Mcclure Ave, Suite 150, West Lafayette, IN 47906-4164 | 2016-09-29 |
| 1265981492 | Emily Gerth | Speech-Language Pathologist | 3482 Mcclure Ave, Suite 150, West Lafayette, IN 47906-4164 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| 1770793150 | Volker Karl Thomas | Marriage & Family Therapist | 2512 Covington Street, West Lafayette, IN 47906 | 2007-05-23 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286973 | Reid Physician Associates Inc | Clinic/Center | 1154 S State Road 1 Ste 2, Cambridge City, IN 47327-9513 | 2020-08-19 |
| 1710476668 | Reid Physician Associates, Inc. | Clinic/Center | 1350 Chester Blvd Ste E, Richmond, IN 47374-1959 | 2018-05-07 |
| 1548787203 | Deaconess Hospital, Inc. | Clinic/Center | 4949 Healthy Way Ste B, Evansville, IN 47715-1180 | 2017-08-24 |
| 1013452283 | George B. Pratt, Md | Clinic/Center | 9015 Crystal Lake Dr, Indianapolis, IN 46240-6414 | 2016-12-27 |
| 1134564016 | Chn Jmh Ventures LLC | Clinic/Center | 3000 S State Road 135 Ste 120, Greenwood, IN 46143-9829 | 2013-05-06 |
| 1578871257 | Smartview Imaging, LLC | Clinic/Center | 7818 E 96th St, Fishers, IN 46037-9629 | 2010-09-16 |
| 1205919982 | Northwestern Medical Imaging LLC | Clinic/Center | 1946 45th Ave, Munster, IN 46321-3917 | 2006-10-24 |
| 1720178726 | Indiana Mri of Evansville, LLC | Clinic/Center | 729 John St, Evansville, IN 47713-2754 | 2006-10-13 |
| 1750471470 | Indiana Regional P E T and Imaging Center, LLC | Clinic/Center | 7891 Broadway Ste A, Merrillville, IN 46410-5556 | 2006-10-13 |
| 1790875706 | Indiana Mri, LLC | Clinic/Center | 3802 Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
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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.