Lafayette Otolaryngology Associates, Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

LAFAYETTE OTOLARYNGOLOGY ASSOCIATES, INC

Practice address

2320 Concord Rd
Lafayette, IN 47909-2708

Phone

(765) 477-7436

Fax

(765) 477-1245

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Ruth M Rodehan

Title

Office Manager

Phone

(765) 477-7436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lafayette ENT Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Joel Duberstein, MD

  • Otolaryngology Physician
  • Lafayette, IN
  • NPI 1578731717
  Medicare reassignment NPD
• Peter J Hillsamer, M.D.

  • Otolaryngology Physician
  • Lafayette, IN
  • NPI 1316026545
  Medicare reassignment NPD
• Kelly Jo Todd, AU.D.

  • Audiologist
  • Lafayette, IN
  • NPI 1366527152
  Medicare reassignment NPD
• Paul Forrestal Wilson, MD

  • Otolaryngology Physician
  • Crawfordsville, IN
  • NPI 1396139572
  Medicare reassignment NPD
• Christine A Campbell, MS

  • Audiologist
  • Lafayette, IN
  • NPI 1275774945
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1720157951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 CONCORD RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092708",
            "telephone_number": "765-477-7436",
            "fax_number": "765-477-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 CONCORD RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092708",
            "telephone_number": "765-477-7436",
            "fax_number": "765-477-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE OTOLARYNGOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "RODEHAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-477-7436"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200274580A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lafayette Endodontics, LLC
• Lafayette Family Wellness, LLC
• Lafayette Integrative Health Center
• Lafayette Neonatal Associates PC
• Lafayette Oral and Maxillofacial Surgery Group, P.C.
• Lafayette Pain Care, P.C.
• Lafayette Pediatric Dentistry & Orthodontics
• Lafayette Podiatry Associates, P.C.
• Lafayette Radiology LLC
• Lafayette Regional Rehabilitation Hospital LLC

• Otolaryngology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.