Lifeplex Urgent Care, L.L.C.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LIFEPLEX URGENT CARE, L.L.C.

Practice address

2855 Miller Dr
Ste 119
Plymouth, IN 46563-8091

Phone

(574) 941-1000

Fax

(574) 941-1075

NPI assigned

Feb 15, 2007

Last updated

Dec 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa L Jones, ENP

Title

Manager

Phone

(574) 941-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Byron M Holm, MD

  • Family Medicine Physician
  • Plymouth, IN
  • NPI 1538154018
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1609919778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR",
            "address_2": "STE 119",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638091",
            "telephone_number": "574-941-1000",
            "fax_number": "574-941-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR",
            "address_2": "STE 119",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638091",
            "telephone_number": "574-941-1000",
            "fax_number": "574-941-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPLEX URGENT CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "574-941-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ENP"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200861600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason Leed
• Maria Leon
• Stephanie Lewis, OTR
• Lifeplex Diagnostic Center, L.L.C.
• Lifeplex Medical Inc (LifePlex Family Practice)
• Lighthouse Dental
• Louis Plumlee DDS (Plumlee Dentistry)
• Lynn Ann Lucas, LCSW
• Kristine Luna, MA
• Michelle Lyle, RPH

• Emergency Medicine Physician in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.