LAFAYETTE EMERGENCY CARE, P.C. (NPI# 1861447211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861447211 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE EMERGENCY CARE, P.C. |
| Other Organization Name | INDIANA EMERGENCY CARE |
| Practice Address |
5165 Mccarty Ln Lafayette IN 47905-8764 |
| Mailing Address |
3652 Rome Dr Ste A Lafayette IN 47905-4465 |
| Practice Telephone | 7658385100 |
| Mailing Telephone | 7654460170 |
| Mailing Fax Number | 7654469279 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | ERIKA O'BRIEN (COO-CFO) |
| Authorized Official Telephone | 7654460170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 000 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100464230 | 05 |
| Other Name | Type Code |
|---|---|
| Indiana Emergency Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | LAFAYETTE EMERGENCY CARE, P.C. | 3652 Rome Drive, Suite A, Lafayette, IN 47905 |
| Street Address |
5165 MCCARTY LN |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-8764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827650 | Emily Ann Burkhalter | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-10-07 |
| 1053918987 | Amy Elizabeth Manahan | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-10-04 |
| 1568075513 | James Michael Roush | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-08-28 |
| 1497365217 | Ryan Haas | Physician Assistant | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-08-06 |
| 1972120145 | Jocelyn Tao | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-07-02 |
| 1396362943 | Bryce R Burkhart | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-06-30 |
| 1184259566 | Amy E Zumwalt | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-03-06 |
| 1497380067 | Skyler Williams | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-03-04 |
| 1578198230 | Ashley Scheil | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-03-03 |
| 1508497264 | Deoanna Gorrell | Nurse Practitioner | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-01-31 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
| 1710328653 | Medexpress Urgent Care, PC - Indiana | Emergency Medicine | 102 Sagamore Pkwy S, Lafayette, IN 47905-4745 | 2013-07-08 |
| 1467751354 | Devan Guidry Szczepanski | Emergency Medicine | 619 Saint Catherine St, Lafayette, LA 70506-4328 | 2011-03-18 |
| 1730359977 | Tonya Boudreaux | Emergency Medicine | 4600 Ambassador Caffery- Emergency Dept., Lafayette, LA 70508 | 2008-03-04 |
| 1063692481 | Braden Conrad Despot | Emergency Medicine | 200 Travis St Ste 201, Lafayette, LA 70503-2447 | 2007-11-14 |
| 1699970830 | Charles P Gillespie | Emergency Medicine | 2849 Crater Lake Ln, Lafayette, CO 80026-3488 | 2007-06-18 |
| 1730239542 | Charles T. Clemons | Emergency Medicine | 926 Raintree Pl, Lafayette, CA 94549-4816 | 2007-01-12 |
| 1811076995 | Brad Alan Boudreaux | Emergency Medicine | 3619 Ambassador Caffery Pkwy, Bldg E, Lafayette, LA 70503-5132 | 2006-11-02 |
| 1528158060 | Joseph C Ryan | Emergency Medicine | 607 Greenbriar Rd, Lafayette, LA 70503-0000 | 2006-10-13 |
| Find all providers in LAFAYETTE | ||||
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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.