NPIMap

Organization Active NPI

Laporte Regional Physician Network, Inc.

  • Internal Medicine Physician
  • Knox, IN
National Provider Identifier
1467622746
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01028450A Issued in IN
Legal business name
LAPORTE REGIONAL PHYSICIAN NETWORK, INC.
Practice address
1901 S Heaton
Knox, IN 46534-2325
Phone
(574) 772-3187
Fax
(574) 772-4843
NPI assigned
Mar 3, 2008
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Mark Rafalski
Title
Coo
Phone
(219) 326-2347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01028450A IN Primary

Addresses

Primary practice location

1901 S Heaton
Knox, IN 46534-2325

Mailing address

P.O. Box 1690
Laporte, IN 46352-1690
Phone (219) 326-2312

Other identifiers 3

IdentifierTypeStateIssuer
200171580MedicaidIN
01028450AOtherINLICENSE
100225120MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Knox Family Medical Cen28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1467622746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1690",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "463521690",
            "telephone_number": "219-326-2312",
            "fax_number": "219-326-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HEATON",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342325",
            "telephone_number": "574-772-3187",
            "fax_number": "574-772-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPORTE REGIONAL PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "RAFALSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "219-326-2347"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01028450A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200171580",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01028450A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100225120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.