Mario Rolando Contreras, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

01036557A Issued in IN

Practice address

2400 South St
Lafayette, IN 47904-3027

Phone

(765) 448-4319

Fax

(765) 448-2921

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Diagnostic Services LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Lafayette, IN
  • NPI 1790783074
  NPD Authorized official

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1841297801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5628",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035628",
            "telephone_number": "765-448-4319",
            "fax_number": "765-448-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043027",
            "telephone_number": "765-448-4319",
            "fax_number": "765-448-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "MARIO",
        "middle_name": "ROLANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01036557A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000082509",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB5232",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas S Conard, MD
• Kelli Ann Conlon
• Madeline Grace Connors
• Chelsye Linne Conrad, RBT
• Jessica Conrad, RN
• Marisa Conway, DO
• Marselle Janise Cook-Morrison
• Alana Cook, RBT
• Carol F Cook, LCSW,MSW,ACSW
• Stephen A Cook, DDS MSD

• Anatomic Pathology & Clinical Pathology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.