NPIMap

Organization Active NPI

Sigma Medical Group, LLC

  • General Practice Physician
  • Lafayette, IN
National Provider Identifier
1386668812
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SIGMA MEDICAL GROUP, LLC
Practice address
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone
(765) 775-2828
Fax
(765) 775-2833
NPI assigned
Jul 27, 2006
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mr. John Lease
Title
Executive Director
Phone
(765) 775-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1701 S Creasy LN
Lafayette, IN 47905-4972

Mailing address

1415 Salem St
Suite 302
Lafayette, IN 47904-2099
Phone (765) 449-2410

Other identifiers 1

IdentifierTypeStateIssuer
200495560MedicaidIN

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1415 Salem St
Ste 302
Lafayette, IN 47904

15 Executive Dr
Ste 4
Lafayette, IN 47905
Phone (574) 583-5200

2323 Ferry St
Ste 102
Lafayette, IN 47904
Phone (765) 463-5252

2323 Ferry St
Ste 103
Lafayette, IN 47904
Phone (765) 449-1720

2323 Ferry St
Ste 201
Lafayette, IN 47904
Phone (765) 447-8878

2323 Ferry St
Ste 206
Lafayette, IN 47904
Phone (765) 449-1091

2323 Ferry St
Ste 209
Lafayette, IN 47904
Phone (765) 449-1555

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1386668812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 SALEM ST",
            "address_2": "SUITE 302",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042099",
            "telephone_number": "765-449-2410",
            "fax_number": "765-742-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054972",
            "telephone_number": "765-775-2828",
            "fax_number": "765-775-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGMA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "LEASE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-775-2828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200495560",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.