Active NPI
Lauren Rode, PA-C
- Physician Assistant
- Dayton, OH
National Provider Identifier
1508267279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004083
- Practice address
- 4160 Little York Rd
Suite 10
Dayton, OH 45414-5800 - Phone
- (937) 415-9100
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004083 | OH | Primary |
Addresses
Primary practice location
4160 Little York Rd
Suite 10
Dayton, OH 45414-5800
Mailing address
PO Box 713130
Cincinnati, OH 45271-3130
Phone (937) 415-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004083 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414713600000",
"number": "1508267279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713130",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452713130",
"telephone_number": "937-415-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 LITTLE YORK RD",
"address_2": "SUITE 10",
"city": "DAYTON",
"state": "OH",
"postal_code": "454145800",
"telephone_number": "937-415-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODE",
"first_name": "LAUREN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "004083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.