Jeffrey Lastfogel, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

11016837A Issued in IN

Practice address

350 N Meridian St Unit 807
Indianapolis, IN 46204-1773

Phone

(317) 374-6780

NPI assigned

Jun 28, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1548524176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N MERIDIAN ST UNIT 807",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N MERIDIAN ST UNIT 807",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041773",
            "telephone_number": "317-374-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTFOGEL",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "11016837A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Lyn Lassinger, RN, MSN, APN
• Johanna Elizabeth Lassiter, D.P.T.
• Charles Emery Laster
• Jerwana Laster, DPM
• Marciana Lee Laster, M.D.
• Sara Laswell, OTR/L
• Lately Homes LLC
• Jeff B Latham, MD
• Kimberly Latham, A.T.,C.
• Leigh Boehringer Latham, MD

• Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.