CHRISTOPHER W LASALLE (NPI# 1508865890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508865890 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER W LASALLE |
| Credential | MD |
| Practice Address |
5050 N Clinton St Fort Wayne IN 46825-5886 |
| Mailing Address |
5052 N Clinton St Fort Wayne IN 46825-5822 |
| Practice Telephone | 2604848551 |
| Practice Fax Number | 2604825060 |
| Mailing Telephone | 2604848551 |
| Mailing Fax Number | 2604825060 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 01044122A | IN | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
01044122A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAIL ROAD MEDICARE | 200038772 | 01 |
| IN | 200268280 | 05 | |
| OH | 2173366 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Provident Dr Ste B, Warsaw, IN 465803297 | 5742698301 | 5742698302 |
| 11136 Parkview Circle Dr, Fort Wayne, IN 468451730 | 2604848551 | 2604825060 |
| 7920 W Jefferson Blvd, Fort Wayne, IN 468044168 | 2604848551 | 2604825060 |
| 7920 W Jefferson Blvd Ste 100, Fort Wayne, IN 468044166 | 2604848551 | 2604825060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336656206 | Christopher Lasalle | Social Worker | 777 Seaview Ave Bldg 7, Staten Island, NY 10305-3409 | 2018-01-02 |
| Street Address |
5050 N CLINTON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-5886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228529 | Scott Davis | Anesthesiology | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2005-07-11 |
| 1477179737 | Mirsad Maglajlic | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-23 |
| 1053937961 | Kay Elizabeth Brown | Registered Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-17 |
| 1831714716 | Raelene Marie Lamott | Licensed Practical Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-16 |
| 1982184701 | Angela R Kesler | Physical Therapist | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-08-21 |
| 1912485947 | Kaley Alison Weber | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-08-01 |
| 1275019341 | Cayla Marie Vorndran | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-07-12 |
| 1629560370 | Aaron Michael Lewis | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-05-30 |
| 1144724402 | Surgery One Anesthesia, LLC | Anesthesiology | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-03-21 |
| 1235631557 | Samuel Vincent Dismuke | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639449325 | George J Volan | Surgery | 1004 Rescobie Ct, Schererville, IN 46375-2978 | 2012-01-11 |
| 1063543700 | Bardia Amirlak | Surgery | 1 Riverpointe Plz Apt 702, Jeffersonville, IN 47130-3210 | 2007-03-07 |
| 1437211968 | Haroon M. Qazi | Surgery | 7552 Chablis Cir, Indianapolis, IN 46278-1588 | 2006-12-14 |
| 1982770285 | Dion Debro Chavis | Surgery | 9002 North Meridian Street, Suite 104, Indianapolis, IN 46260-5349 | 2006-11-28 |
| 1336141050 | Michael C Malczewski | Surgery | 7865 Grand Blvd, Hobart, IN 46342-6665 | 2005-08-12 |
| 1649569484 | Sam Fuller | Surgery | 53880 Carmichael Dr, South Bend, IN 46635-1567 | 2011-04-01 |
| 1003086158 | Chavis Center LLC | Surgery | 9002 N Meridian St, Suite 104, Indianapolis, IN 46260-5381 | 2008-03-05 |
| 1053503466 | Douglas Justin Mcguirk | Surgery | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2007-08-10 |
| 1710190319 | Alex Meyers | Surgery | 13431 Old Meridian St, Ste 225, Carmel, IN 46032-7101 | 2007-05-08 |
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on CHRISTOPHER W LASALLE.
| 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.