UNITY HEALTHCARE, LLC (NPI# 1992113245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992113245 |
| Entity Type | Organization |
| Organization Name | UNITY HEALTHCARE, LLC |
| Other Organization Name | GANNAMANENI GASTROENTEROLOGY |
| Practice Address |
1345 Unity Pl Ste 110 Lafayette IN 47905-5768 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7658072787 |
| Practice Fax Number | 7658072786 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | MARTHA K MILLER (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 7654465417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01059023A | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gannamaneni Gastroenterology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3930 Mezzanine Dr, Suite D, Lafayette, IN 479058646 | 7654492732 | 7654465317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437679958 | Unity Healthcare, LLC | Family Medicine | 2002 West County Road 0 N/s, Frankfort, IN 46041 | 2017-06-26 |
| 1528415486 | Unity Healthcare, LLC | Occupational Therapist | 2002 W County Road 0 N/s, Frankfort, IN 46041-8735 | 2016-05-20 |
| 1376882399 | Unity Healthcare, LLC | Otolaryngology | 1345 Unity Pl Ste 110a, Lafayette, IN 47905-5760 | 2013-02-12 |
| 1710282439 | Unity Healthcare, LLC | Anesthesiology | 3738 Landmark Drive, Suite A, Lafayette, IN 47905-6633 | 2011-01-12 |
| 1780903468 | Unity Healthcare, LLC | Occupational Therapist | 3806 Amelia Ave, Lafayette, IN 47905-5772 | 2010-05-20 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1902071665 | Unity Healthcare, LLC | Family Medicine | 5450 W State Road 26, Suite 300, Rossville, IN 46065-9542 | 2008-04-24 |
| 1861665382 | Unity Healthcare, LLC | Family Medicine | 3801 Amelia Ave, Suite C, Lafayette, IN 47905-5000 | 2008-04-04 |
| 1093983488 | Unity Healthcare, LLC | Phlebology | 985 S Creasy Ln, Lafayette, IN 47905-4800 | 2008-02-19 |
| 1508818980 | Unity Healthcare, LLC | Podiatrist | 54 S Maish Rd, Frankfort, IN 46041-2824 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNITY HEALTHCARE, LLC | 25967 Conifer Rd, Conifer, CO 80433-9042 |
| Street Address |
1345 UNITY PL STE 110 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-5768 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437416617 | Jacob Lee Breaux | Internal Medicine | 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503 | 2012-04-12 |
| 1922269281 | Melanie Montgomery Bienvenu | Internal Medicine | 408 Shelly Dr, Lafayette, LA 70503-4438 | 2008-06-19 |
| 1801901335 | Patrick Antoine Laperouse | Internal Medicine | 439 Heymann Blvd, Lafayette, LA 70503-2616 | 2006-08-21 |
| 1497869929 | Ravish J Mahajan | Internal Medicine | 5 Executive Dr, Suite B1, Lafayette, IN 47905-4867 | 2006-08-19 |
| 1245261049 | Eugene T Stueben | Internal Medicine | 601 W St Mary Blvd, Suite 310, Lafayette, LA 70506 | 2006-07-06 |
| 1235107673 | Krishna Gannamaneni | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2006-03-10 |
| 1447249800 | Jatinder P Ahluwalia | Internal Medicine | 1101 S College Rd, Lafayette, LA 70503-3038 | 2005-10-18 |
| 1922007996 | Rama Marepally | Internal Medicine | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2005-07-20 |
| 1881191393 | Jacob L Breaux, Md, LLC | Internal Medicine | 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503-2636 | 2018-04-11 |
| 1528430246 | Unity Healthcare, LLC | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2015-10-21 |
| 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.