Active NPI
Landon Lauber
- Certified Registered Nurse Anesthetist
- Plymouth, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 149768
- Practice address
- 1915 Lake Ave
Plymouth, IN 46563-9366 - Phone
- (574) 948-4911
- NPI assigned
- Oct 31, 2023
- Last updated
- Sep 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 149768 | IN | Primary |
| School Registered Nurse | 163WS0200X | 28243465A | IN |
Addresses
Primary practice location
1915 Lake Ave
Plymouth, IN 46563-9366
Mailing address
1700 Hope Blvd
Plymouth, IN 46563-1253
Phone (574) 555-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Marian University College of Osteopathic Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1915 Lake Ave
Plymouth, IN 46563-9366
Phone (574) 948-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28243465A | IN | MD | School Registered Nurse |
| 149768 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Ams Northern Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Mishawaka, IN
- NPI 1306722418
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1427619840
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, IN
- NPI 1750267860
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1902679160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HOPE BLVD",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465631253",
"telephone_number": "574-555-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 LAKE AVE",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465639366",
"telephone_number": "574-948-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBER",
"first_name": "LANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-31",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "149768",
"primary": true
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "IN",
"license": "28243465A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.