NPIMap

Organization Active NPI

Lafayette Womens Health

Doing business as Premier Healthcare for Women

  • Obstetrics & Gynecology Physician
  • Lafayette, IN
National Provider Identifier
1073899753
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LAFAYETTE WOMENS HEALTH
Doing business as
Premier Healthcare for Women
Practice address
3774 Bayley Dr
Suite B
Lafayette, IN 47905-8651
Phone
(765) 807-2280
Fax
(765) 807-2281
NPI assigned
Oct 26, 2011
Organization subpart
Yes
Parent organization
LAFAYETTE WOMENS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Robert Ideson
Title
Administrator
Phone
(765) 428-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3774 Bayley Dr
Suite B
Lafayette, IN 47905-8651

Mailing address

3774 Bayley Dr
Suite B
Lafayette, IN 47905-8651
Phone (765) 807-2280

Other names 1

  • PREMIER HEALTHCARE FOR WOMEN Doing business as

National Provider Directory

National Provider Directory
Part of
Lafayette Womans Health

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1073899753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 BAYLEY DR",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058651",
            "telephone_number": "765-807-2280",
            "fax_number": "765-807-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3774 BAYLEY DR",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058651",
            "telephone_number": "765-807-2280",
            "fax_number": "765-807-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE WOMENS HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAFAYETTE WOMENS HEALTH",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "IDESON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-428-5888"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER HEALTHCARE FOR WOMEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.