LIBERTY DIALYSIS - LAFAYETTE LLC (NPI# 1336239730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336239730 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - LAFAYETTE LLC |
| Other Organization Name | LIBERTY DIALYSIS - CRAWFORDSVILLE |
| Practice Address |
1710 Lafayette Rd Crawfordsville IN 47933-1033 |
| Practice Telephone | 7653591613 |
| Practice Fax Number | 7653591614 |
| Mailing Telephone | 7653591613 |
| Mailing Fax Number | 7653591614 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | MARK R FAWCETT (SENIOR VICE PRESIDENT & TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Liberty Dialysis - Crawfordsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245320639 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 1020 N 18th St, Lafayette, IN 47904-2279 | 2006-10-13 |
| 1881784270 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 1300 S Jackson St, Frankfort, IN 46041-3313 | 2006-10-13 |
| 1518057918 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 810 S 6th St, Monticello, IN 47960-8201 | 2006-10-13 |
| Street Address |
1710 LAFAYETTE RD |
| City | CRAWFORDSVILLE |
| State | IN |
| Zip Code | 47933-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508829870 | Isaac David Hook | Specialist/Technologist | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2006-04-08 |
| 1770044380 | Junaid Hasnain | Nurse Practitioner | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2019-03-27 |
| 1538669114 | Heidi M Fedor | Specialist/Technologist | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2018-02-20 |
| 1003292830 | Heartland Anesthesia and Perioperative Specialists, LLC. | Anesthesiology | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2015-08-04 |
| 1083010219 | Atlantic Herring Inpatient Services LLC | Hospitalist | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2014-11-17 |
| 1770912453 | Emergency Care Associates of Indiana LLC | Physician Assistant | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2013-11-04 |
| 1932468030 | Kasia Miley | Emergency Medicine | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2012-05-09 |
| 1720371552 | St. Clare Medical Center | Durable Medical Equipment & Medical Supplies | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2011-05-26 |
| 1225248446 | Sisters of St. Francis Health Services | General Acute Care Hospital | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2007-05-23 |
| 1538383120 | Kenneth Primm | Anesthesiology | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370454 | Mh Nursing of Indiana, PC | Nurse Practitioner | 600 Sr32 West, Crawfordsville, IN 47933 | 2019-05-01 |
| 1336678192 | Latoyia Cherdise Austin | Nurse Practitioner | 600 Sr 32 West, Crawfordsville, IN 47933 | 2017-06-06 |
| 1154579597 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 821 S Washington, Crawfordsville, IN 47933 | 2008-08-27 |
| 1487849063 | Assisted Living Concepts Inc | Assisted Living Facility | 1719 South Elm Street, Crawfordsville, IN 47933 | 2007-09-07 |
| 1912129503 | Stephen W. Rasmussen | Dentist | 1485 S. Grant Ave., Suite B, Crawfordsville, IN 47933 | 2007-05-03 |
| 1932244597 | Stephanie Elaine Ford | Physical Therapist | 402 W Market, Crawfordsville, IN 47933 | 2007-02-21 |
| 1285776906 | Thomas A. Clemens | Optometrist | 1615 U.S. 231 South, Crawfordsville, IN 47933 | 2007-02-12 |
| 1730256819 | Nancy Jane Davis | Social Worker | 468 N Woodland Heights Dr, Crawfordsville, IN 47933 | 2006-11-30 |
| 1881761963 | Jennifer Sue Slavens | Counselor | 468 N Woodland Heights Drive, Crawfordsville, IN 47933 | 2006-11-30 |
| 1639249188 | Regina Lee Endicott | Nurse Practitioner | 4537 S Nucor Rd, Crawfordsville, IN 47933 | 2006-11-09 |
| Find all providers in zip 47933 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285733584 | Greater Lafayette Health Services | Clinic/Center | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
| City | CRAWFORDSVILLE |
| Zip Code | 47933 |
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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.