Active NPI
Unity Healthcare, LLC
Doing business as Lafayette Regional Vein & Laser Center
- Phlebology Physician
- Lafayette, IN
National Provider Identifier
1093983488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 01041607A
- Legal business name
- UNITY HEALTHCARE, LLC
- Doing business as
- Lafayette Regional Vein & Laser Center
- Practice address
- 985 S Creasy LN
Lafayette, IN 47905-4800 - Phone
- (765) 807-2770
- Fax
- (765) 807-0348
- NPI assigned
- Feb 19, 2008
- Last updated
- Oct 18, 2024
- 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
- Heather Dawson
- Title
- Director of Billing
- Phone
- (765) 446-5417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 01041607A | IN | Primary |
Addresses
Primary practice location
985 S Creasy LN
Lafayette, IN 47905-4800
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other names 1
- Lafayette Regional Vein & Laser Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040203001083 | IN | Part B Supplier - Clinic/Group Practice | 0244123362 |
Receives reassigned benefits from 69 practitioners This NPI is an additional NPI on the enrollment Practice locations: Lafayette, IN; West Lafayette, IN; La Fayette, IN; Flora, IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1093983488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 S CREASY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054800",
"telephone_number": "765-807-2770",
"fax_number": "765-807-0348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "765-446-5417"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "IN",
"license": "01041607A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lafayette Regional Vein & Laser Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, IN
- Unity Healthcare LLC (Lafayette Anesthesiologists)
- Unity Healthcare LLC (Lafayette Cancer Care)
- Unity Healthcare, LLC (Lafayette Allergy & Asthma)
- Unity Healthcare, LLC (Pain Care Center)
- Unity Healthcare, LLC (Lai Plastic Surgery)
- Unity Healthcare, LLC (Horizon Oncology Center)
- Unity Healthcare, LLC (Estep Family Medicine)
- Unity Healthcare, LLC (Lafayette Kidney Care)
- Unity Healthcare, LLC (Lafayette Radiation Oncology)
- Unity Healthcare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.