Active NPI
Damian Lafitte, MD
- Pediatrics Physician
- Warrenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2018016620
- Practice address
- 511 Ashland Ave Ste a
Warrenton, MO 63383 - Phone
- (318) 456-0543
- NPI assigned
- Apr 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 308864 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 2018016620 | MO | Primary |
Addresses
Primary practice location
511 Ashland Ave Ste a
Warrenton, MO 63383
Mailing address
5510 Pershing Ave Apt 314
Saint Louis, MO 63112-1951
Phone (318) 294-6268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308864 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Childrens Hospital | Single Specialty | Current | Accepting new patients |
| SSM Cardinal Glennon Children'S Hospital | Single Specialty | Current | Accepting new patients |
| SSM Health Care St Louis | Single Specialty | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
722 N State Highway 47
#B
Warrenton, MO 63383
Phone (636) 456-3413
511 Ashland Ave
Ste A
Warrenton, MO 63383
Phone (636) 456-0543
Interoperability endpoints
- dlafitte265354@direct-ehr-ssmhc.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- O Fallon, IL
- NPI 1174577670
MO, Single Specialty
-
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1568857027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 PERSHING AVE APT 314",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631121951",
"telephone_number": "318-294-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 ASHLAND AVE STE A",
"city": "WARRENTON",
"state": "MO",
"postal_code": "63383",
"telephone_number": "318-456-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFITTE",
"first_name": "DAMIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-01",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "308864",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MO",
"license": "2018016620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.