Lafayette Vein and Vascular Center LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

LAFAYETTE VEIN AND VASCULAR CENTER LLC

Doing business as

Lafayette Vein and Vascular

Practice address

3900 St Francis Way Ste 201
Lafayette, IN 47905-4925

Phone

(765) 404-1454

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By 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

Dr. Shoaib Shafique, MDNPI 1851357669

Title

Ceo

Phone

(317) 938-3989

Specialties & licenses 1

Addresses

Other names 1

• Lafayette Vein and Vascular Doing business as

Practitioners 2

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.

• Shoaib Shafique, M.D.

  • Vascular Surgery Physician
  • Lafayette, IN
  • NPI 1851357669
  Authorized official Same address or phone
• Kate Dell

  • Acute Care Nurse Practitioner
  • Lafayette, IN
  • NPI 1871010678
  NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1710685896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 IBIS CT",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479066625",
            "telephone_number": "765-404-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ST FRANCIS WAY STE 201",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054925",
            "telephone_number": "765-404-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE VEIN AND VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "SHAFIQUE",
        "authorized_official_first_name": "SHOAIB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-938-3989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Vein and Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lafayette Radiology LLC
• Lafayette Regional Rehabilitation Hospital LLC
• Lafayette Retina Clinic PC
• Lafayette School Corporation
• Lafayette Surgery Center LLC
• Lafayette Vision Center
• Lafayette Vision Center
• Lafayette Westend Dental LLC (Westend Dental)
• Lafayette Womans Health (Lafayette Obstetrics and Gynecology)
• Lafayette Womans Health (Womans Clinic)

• Vascular Surgery Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Vascular Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.