Organization Active NPI

Lafayette Emergency Care, P.C.

Doing business as Indiana Emergency Care

  • Emergency Medicine Physician
  • Lafayette, IN
National Provider Identifier
1861447211
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
000 Issued in IN
Legal business name
LAFAYETTE EMERGENCY CARE, P.C.
Doing business as
Indiana Emergency Care
Practice address
5165 McCarty LN
Lafayette, IN 47905-8764
Phone
(765) 838-5100
NPI assigned
May 24, 2006
Last updated
Nov 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Erika O'Brien
Title
Coo-Cfo
Phone
(765) 446-0170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 000 IN Primary

Addresses

Primary practice location

5165 McCarty LN
Lafayette, IN 47905-8764

Mailing address

3652 Rome Dr
Ste a
Lafayette, IN 47905-4465
Phone (765) 446-0170

Other identifiers 1

IdentifierTypeStateIssuer
100464230MedicaidIN

Other names 1

  • Indiana Emergency Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517001198 IN Part B Supplier - Clinic/Group Practice 9830189240 Receives reassigned benefits from 68 practitioners
Practice locations: Noblesville, IN; Lafayette, IN; Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

7219 Solutions Ctr
Chicago, IL 60677

216 N 4th St
Ste 205
Lafayette, IN 47901

Practitioners & affiliated clinicians

Practitioners 122

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.

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1861447211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 ROME DR",
            "address_2": "STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054465",
            "telephone_number": "765-446-0170",
            "fax_number": "765-446-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 MCCARTY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058764",
            "telephone_number": "765-838-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE EMERGENCY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "COO-CFO",
        "authorized_official_telephone_number": "765-446-0170"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Emergency Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.