Individual provider Active NPI

David W. Laitinen, M.D.

  • Orthopaedic Surgery Physician
  • Seymour, IN
National Provider Identifier
1184625758
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01032417 Issued in IN
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000093074OtherINANTHEM BCBS
0246440001OtherINDME
100140540AMedicaidIN

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

LicenseStateTypeSpecialty
01032417INMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seymour Indiana Pathologists, Inc PastSince Apr 1, 2011 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.

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.

Verify at the official NPI Registry.