LPC Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

01059790A Issued in IN

Legal business name

LPC SURGERY CENTER LLC

Practice address

770 Park East Blvd
Suite a
Lafayette, IN 47905-0786

Phone

(765) 714-4344

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Shazia M Siddiqui, M.D.NPI 1629001680

Title

Manager

Phone

(765) 714-4344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

LPC Surgery Center LLCCCN 15C0001200

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shazia Meraj Siddiqui, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lafayette, IN
  • NPI 1629001680
  Medicare reassignment NPD Authorized official
• Souheil F. Haddad, M.D.

  • Specialist
  • Bloomington, IN
  • NPI 1659355931
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1447612114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PARK EAST BLVD",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050786",
            "telephone_number": "765-714-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PARK EAST BLVD",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050786",
            "telephone_number": "765-714-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "765-714-4344",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "01059790A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Louie, M.D.
• Sydney Lowe, RBT
• Lauren A. Lowrey, M.A., CCC-SLP
• Kyle D. Loy, M.D. P.C.
• Ryan D Loyd, DO
• Chelsey Lynn Lueken, DC
• Debra L. Lukens, PH.D., LCSW, ACSW
• Katlin Marie Luter, CRNA
• Jillian R Luttrell
• James E. Lutz, D.D.S.

• Ambulatory Surgical Clinic/Center in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.