Active NPI
David W. Laitinen, M.D.
- Orthopaedic Surgery Physician
- Seymour, IN
National Provider Identifier
1184625758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01032417
- Practice address
- 225 S Pine St
Suite 300
Seymour, IN 47274-2365 - Phone
- (812) 524-3311
- Fax
- (812) 524-3312
- NPI assigned
- Aug 4, 2005
- Last updated
- Mar 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01032417 | IN | Primary |
Addresses
Primary practice location
225 S Pine St
Suite 300
Seymour, IN 47274-2365
Mailing address
225 S Pine St
Suite 300
Seymour, IN 47274-2365
Phone (812) 524-3311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000093074 | Other | IN | ANTHEM BCBS |
| 0246440001 | Other | IN | DME |
| 100140540A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032417 | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1184625758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S PINE ST",
"address_2": "SUITE 300",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742365",
"telephone_number": "812-524-3311",
"fax_number": "812-524-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S PINE ST",
"address_2": "SUITE 300",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742365",
"telephone_number": "812-524-3311",
"fax_number": "812-524-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAITINEN",
"first_name": "DAVID",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01032417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000093074",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0246440001",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100140540A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.