L.B. Tubergen, MD, LLC

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

01025706 Issued in IN

Legal business name

L.B. TUBERGEN, MD, LLC

Practice address

5620 Crawfordsville Rd Ste K
Indianapolis, IN 46224-3726

Phone

(317) 243-2888

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. L B Tubergen, MD

Title

President

Phone

(317) 243-2888

Specialties & licenses 1

Addresses

Practitioners 1

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

• Paul Joseph Kreimer, M.A., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Aurora, IL
  • NPI 1922001239
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1093839664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 BERGESON CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 CRAWFORDSVILLE RD STE K",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462243726",
            "telephone_number": "317-243-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.B. TUBERGEN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "TUBERGEN",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-243-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "IN",
            "license": "01025706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Kyrouac, PHARM.D.
• Rutesara Sarah Luthe Kyuragi, MD, MPH, PHD
• L. Michelle Wellness, LLC.
• L. S. Scott, DDS PC
• L.a.S.E.R. Project Inc
• Natalie La Rosa, RN
• Lab Express Indiana Incorporated
• Dawson Labaw
• Irwin N Labin, M.D.
• Gary Labita, LCSW

• Otology & Neurotology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Otology & Neurotology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.