Active NPI
Jerrold a. Laskin, M.D., P.C.
- Plastic Surgery Physician
- Carmel, IN
National Provider Identifier
1033322953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 01040371
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerrold Aron Laskin, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000091454 | Other | IN | ANTHEM PIN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Carmel, IN
- NPI 1871635326
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.