NPIMap

Organization Active NPI

Rafael Lao, M.D.

  • Nephrology Physician
  • Vincennes, IN
National Provider Identifier
1841535176
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
10142614A Issued in IN
Legal business name
RAFAEL LAO, M.D.
Practice address
700 Willow St
Suite 100
Vincennes, IN 47591-1028
Phone
(812) 882-6124
Fax
(812) 882-8620
NPI assigned
Nov 27, 2012
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Rafael Lao, M.D.NPI 1265477053
Title
Owner
Phone
(812) 882-6124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 10142614A IN Primary

Addresses

Primary practice location

700 Willow St
Suite 100
Vincennes, IN 47591-1028

Mailing address

PO Box 232
Vincennes, IN 47591-0232
Phone (812) 882-6124

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1841535176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910232",
            "telephone_number": "812-882-6124",
            "fax_number": "812-882-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST",
            "address_2": "SUITE 100",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911028",
            "telephone_number": "812-882-6124",
            "fax_number": "812-882-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL LAO, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "LAO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-882-6124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "10142614A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.