Active NPI
Unity Healthcare, LLC
- Medical Oncology Physician
- Lafayette, IN
National Provider Identifier
1134543036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 01044990A
- Legal business name
- UNITY HEALTHCARE, LLC
- Practice address
- 1345 Unity PL
Ste 365
Lafayette, IN 47905-5760 - Phone
- (765) 446-5111
- Fax
- (765) 446-5165
- NPI assigned
- Feb 12, 2014
- 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
- Martha K Miller
- Title
- Director of Billing
- Phone
- (765) 446-5417
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01044990A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 01044990A | IN | |
| Medical Oncology Physician | 207RX0202X | 01044990A | IN | Primary |
Addresses
Primary practice location
1345 Unity PL
Ste 365
Lafayette, IN 47905-5760
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other names 1
- Horizon Oncology 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": "1392163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392163200000",
"number": "1134543036",
"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": "1345 UNITY PL",
"address_2": "STE 365",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055760",
"telephone_number": "765-446-5111",
"fax_number": "765-446-5165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "765-446-5417"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IN",
"license": "01044990A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01044990A",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01044990A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Horizon Oncology Center",
"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 Feb 12, 2014; 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.