GREATER LAFAYETTE HEALTH SERVICES (NPI# 1710065750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710065750 |
Entity Type | Organization |
Organization Name | GREATER LAFAYETTE HEALTH SERVICES |
Other Organization Name | INNERVISION ADVANCED MEDICAL IMAGING |
Practice Address |
1411 S Creasy Ln Suite 130 Lafayette IN 47905-7438 |
Mailing Address |
2400 South St Lafayette IN 47904-3027 |
Practice Telephone | 7654477447 |
Enumeration Date | 2006-11-01 |
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 |
---|---|---|---|
ANTHEM | 000000311919 | 01 |
Other Name | Type Code |
---|---|
Innervision Advanced Medical Imaging | 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 |
1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
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 |
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 |
1411 S CREASY LN SUITE 130 |
City | LAFAYETTE |
State | IN |
Zip Code | 47905-7438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922095769 | Michael D Krauss | Internal Medicine | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2005-10-05 |
1174058507 | Lisa M Smith | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2017-04-24 |
1255887600 | Emily Martin | Physical Therapy Assistant | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-08-26 |
1881148708 | Rebecah Gray | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2016-08-09 |
1306294772 | Erica Zartman | Physical Therapist | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-05-26 |
1689053779 | Gusta Michelle Owens | Specialist/Technologist | 1411 S Creasy Ln, Ste 120, Lafayette, IN 47905-7438 | 2015-05-22 |
1285024273 | Mary Ritter | Occupational Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2015-01-28 |
1275933707 | Danielle Smith Amos | Physical Therapy Assistant | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-09-03 |
1275957938 | Sara E Blasing | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-02-14 |
1144642612 | Jessica Baumetz Dpt | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-01-17 |
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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 | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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1184239899 | Eagle Imaging LLC | Clinic/Center | 204 Petroleum Dr, Lafayette, LA 70508-3880 | 2020-09-09 |
1700424595 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-12-12 |
1487202552 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-08-30 |
1396849881 | Lafayette General Imaging LLC | Clinic/Center | 1211 Coolidge Blvd, Lafayette, LA 70503-2636 | 2006-09-12 |
1124044748 | St. Mary's Imaging Center | Clinic/Center | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-07-15 |
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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 |
1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
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 |
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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.