Michael T La Nou, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1900 Issued in WI

Practice address

580 Lincoln Park Blvd
Suite 322
Kettering, OH 45429-3474

Phone

(937) 297-6800

Fax

(937) 297-6810

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hans Zwart, M.D. and Associates, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kettering, OH
  • NPI 1174578447
  NPD (past)
• Premier Health Specialists Inc

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1902211287
  NPD (past)
• Marshfield Clinic Inc

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1205948452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 LEATHERWOOD DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691876",
            "telephone_number": "715-441-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD",
            "address_2": "SUITE 322",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293474",
            "telephone_number": "937-297-6800",
            "fax_number": "937-297-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA NOU",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1900",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50002733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kunkel, MD
• J. Douglas Kurtz Jr., LPN
• Patrick A Kuss, PA
• Kim D Kwiatek, MD
• L&H Home Health LLC
• Laboratory Corporation of America Holdings
• Christina Laforce, NP
• Samantha Lakes
• Jennifer Suzanne Land
• Eric James Landman, DO

• Physician Assistant in Kettering, OH
• Providers in Kettering, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.