Lafayette Cancer Care PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

01045452A Issued in IN

Legal business name

LAFAYETTE CANCER CARE PC

Practice address

1345 Unity PL
Ste 135
Lafayette, IN 47905-5760

Phone

(765) 446-5050

Fax

(765) 446-5119

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Susan Gray

Title

Practice Admin

Phone

(765) 446-5050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NANCY A DIMARTINO MD Doing business as

Tax ID family

Lafayette Cancer Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lafayette Cancer Care, PC

  • Hematology & Oncology Physician
  • Lafayette, IN
  • NPI 1295808996
  NPD tax ID

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750463543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 UNITY PL",
            "address_2": "STE 135",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 UNITY PL",
            "address_2": "STE 135",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055760",
            "telephone_number": "765-446-5050",
            "fax_number": "765-446-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE CANCER CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "765-446-5050"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IN",
            "license": "01045452A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1560223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NANCY A DIMARTINO MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• L Jean Hines
• Angelina La Rosa
• Lauralee Jean Labuda, RBT
• Samantha Lackey, PA-C
• Lafayette Bickford Cottage, LLC
• Lafayette Cancer Care, PC
• Lafayette Cath Lab, LLC
• Lafayette Chiropractic LLC
• Lafayette Chiropractic LLC
• Lafayette Dental, LLC

• Non-Pharmacy Dispensing Site in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Non-Pharmacy Dispensing Site in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.