Lafayette Pain Care PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAFAYETTE PAIN CARE PC

Practice address

707 N River Dr
Marion, IN 46952-2765

Phone

(765) 662-0100

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Shazia Meraj Siddiqui

Title

Owner

Phone

(765) 714-4344

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1548844921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5748",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522765",
            "telephone_number": "765-662-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE PAIN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_middle_name": "MERAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-714-4344"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varalakshmi Kumarswamy, MD
• Kathleen Marie Kunkle, OTA
• Arthur Kupersmith, PHD., HSPP
• Kathy Kurfman, PH.D., HSPP
• Kendrick Kwoczalla, LMHC
• Dawn D Lagerkvist, MD
• Erin N. Lahr, MSW LCSW
• Elizabeth Jo Lake
• Lakeview Wesleyan Church
• Eumalla Lampkins

• Durable Medical Equipment & Medical Supplies in Marion, IN
• Providers in Marion, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.