Lafayette Pain Care PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAFAYETTE PAIN CARE PC

Practice address

107 S Washington St Ste C
Kokomo, IN 46901

Phone

(765) 450-6735

Fax

(765) 838-3200

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Shazia Meraj Siddiqui, MD

Title

Owner / MD

Phone

(765) 714-4344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1730585654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PARK EAST BLVD STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050786",
            "telephone_number": "573-468-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S WASHINGTON ST STE C",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46901",
            "telephone_number": "765-450-6735",
            "fax_number": "765-838-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE PAIN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_middle_name": "MERAJ",
        "authorized_official_title_or_position": "OWNER / MD",
        "authorized_official_telephone_number": "765-714-4344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lafountain Emergency Physicians LLC
• Jodi Gayle Lake
• Taylor Leigh Lake
• Lakewood Family Dental of Kokomo PLLC
• Madison Lamott, RBT

• Durable Medical Equipment & Medical Supplies in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.