DR. STEPHEN F. BADYLAK (NPI# 1588037816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588037816 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN F. BADYLAK |
| Credential | DVM, MD, PHD |
| Practice Address |
1150 Kingswood Rd S West Lafayette IN 47906-4671 |
| Practice Telephone | 4126245253 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
01034583A | IN | Other Service Providers |
| Street Address |
1150 KINGSWOOD RD S |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906-4671 |
| 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 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699044347 | Marietta Mae Henry | Specialist | 8211 Scicor Dr, Indianapolis, IN 46214-2942 | 2011-12-27 |
| 1205987278 | Indianapolis Operating Company, LLC | Specialist | 9140 N. Meridian Street, Suite 330, Indianapolis, IN 46260 | 2007-01-16 |
| 1265457774 | Diagnostic Rheumatology and Research, PC | Specialist | 6447 S East St Ste A, Indianapolis, IN 46227-2119 | 2006-07-13 |
| 1225398621 | Dawes Fretzin Clinical Research Group, LLC | Specialist | 8103 Clearvista Pkwy, Suite 260, Indianapolis, IN 46256-5628 | 2012-05-21 |
| 1609002914 | Jared Ferguson | Specialist | 1481 W 10th St # 11h, Indianapolis, IN 46202-2803 | 2009-06-02 |
| 1588813653 | Katherine Ann Carlson | Specialist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-09-15 |
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
Please comment or provide details below to improve the information on DR. STEPHEN F. BADYLAK.
| 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.