Lafayette Womans Health

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

LAFAYETTE WOMANS HEALTH

Practice address

3920 St Francis Way
Suite 110
Lafayette, IN 47905-4917

Phone

(765) 428-5800

Fax

(765) 428-5802

NPI assigned

Jul 7, 2006

Organization subpart

Yes

Parent organization

LAFAYETTE WOMANS HEALTHAs reported in NPPES

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

Authorized official

Name

Robert Ideson

Title

Practice Manager

Phone

(765) 428-5888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAFAYETTE OBSTETRICS AND GYNECOLOGY Doing business as

Part of

Lafayette Womans Health

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1326071192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 ST FRANCIS WAY",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054917",
            "telephone_number": "765-428-5800",
            "fax_number": "765-428-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 ST FRANCIS WAY",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054917",
            "telephone_number": "765-428-5800",
            "fax_number": "765-428-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE WOMANS HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAFAYETTE WOMANS HEALTH",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "IDESON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "765-428-5888"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200303310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAFAYETTE OBSTETRICS AND GYNECOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lafayette Surgery Center LLC
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• Lafayette Vision Center
• Lafayette Vision Center
• Lafayette Westend Dental LLC
• Lafayette Womans Health
• Lafayette Womens Health
• Lafayette'S Wound Center, LLC
• Dustin Lee Lafollette, NP
• Kaitlyn Small Lagoni

• Obstetrics & Gynecology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.