Active NPI
Unity Healthcare,LLC
Doing business as Smith Wound Care
- Surgery Physician
- Lafayette, IN
National Provider Identifier
1336775881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- UNITY HEALTHCARE,LLC
- Doing business as
- Smith Wound Care
- Practice address
- 1250 S Creasy LN
Lafayette, IN 47905-4960 - Phone
- (765) 449-2732
- Fax
- (765) 449-1196
- NPI assigned
- Mar 17, 2020
- Last updated
- Mar 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
1250 S Creasy LN
Lafayette, IN 47905-4960
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other names 1
- Smith Wound Care
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": "1584403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584403200000",
"number": "1336775881",
"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": "1250 S CREASY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054960",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY HEALTHCARE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"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": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smith Wound Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lafayette, IN
- Unity Healthcare, LLC (Greater Lafayette Foot Care)
- Unity Healthcare, LLC (Lafayette Surgical Clinic)
- Unity Healthcare, LLC (Pickerill, Adler & Reed Family Medicine)
- Unity Healthcare, LLC
- Unity Healthcare, LLC (Gannamaneni Gastroenterology)
- Unity Healthcare,LLC (Lafayette Neurology)
- Unity Healthcare,LLC (Lafayette Family Medicine)
- Unity Surgical Center, LLC (Unity Surgical Center)
- Unity Urgent Care LLC
- Randon Upp, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.