Active NPI
Lisa K Laxson, M.D.
- Family Medicine Physician
- Terre Haute, IN
National Provider Identifier
1659489532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01061236A
- Practice address
- 5500 S US Highway 41
Terre Haute, IN 47802-4745 - Phone
- (812) 232-0564
- Fax
- (812) 242-3842
- NPI assigned
- Aug 29, 2006
- Last updated
- Sep 26, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01061236A | IN | Primary |
Addresses
Primary practice location
5500 S US Highway 41
Terre Haute, IN 47802-4745
Mailing address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00315179 | Other | RAILROAD MCARE PALAMETTO | |
| 740329 | Other | HEALTHLINK | |
| 000000384966A | Other | ANTHEM | |
| 7411388 | Other | AETNA | |
| 351904269221 | Other | CARESOURCE MEDICAID | |
| 7014223 | Other | CIGNA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061236A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physicians & Surgeons Clinic, LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1679680672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1659489532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074214",
"telephone_number": "812-232-0564",
"fax_number": "812-242-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 S US HIGHWAY 41",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024745",
"telephone_number": "812-232-0564",
"fax_number": "812-242-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAXSON",
"first_name": "LISA",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01061236A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE PALAMETTO",
"identifier": "P00315179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "740329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000384966A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7411388",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE MEDICAID",
"identifier": "351904269221",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7014223",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.