Organization Active NPI

Jerrold a. Laskin, M.D., P.C.

  • Plastic Surgery Physician
  • Carmel, IN
National Provider Identifier
1033322953
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
01040371 Issued in IN
Legal business name
JERROLD A. LASKIN, M.D., P.C.
Practice address
12425 Old Meridian St
Suite B1
Carmel, IN 46032-8724
Phone
(317) 706-9600
Fax
(317) 706-9606
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerrold Aron Laskin, M.D.NPI 1871635326
Title
President
Phone
(317) 706-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 01040371 IN Primary

Addresses

Primary practice location

12425 Old Meridian St
Suite B1
Carmel, IN 46032-8724

Mailing address

12425 Old Meridian St
Suite B1
Carmel, IN 46032-8724
Phone (317) 706-9600

Other identifiers 1

IdentifierTypeStateIssuer
000000091454OtherINANTHEM PIN

National Provider Directory

National Provider Directory

Locations

12425 Old Meridian St
Ste B
Carmel, IN 46032
Phone (317) 706-9600

12425 Old Meridian St
Ste B1
Carmel, IN 46032
Phone (317) 581-0001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1033322953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 OLD MERIDIAN ST",
            "address_2": "SUITE B1",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328724",
            "telephone_number": "317-706-9600",
            "fax_number": "317-706-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 OLD MERIDIAN ST",
            "address_2": "SUITE B1",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328724",
            "telephone_number": "317-706-9600",
            "fax_number": "317-706-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLD A. LASKIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "LASKIN",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "ARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-706-9600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01040371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000091454",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.