Innovative Medicine

Organization Active
NPI 1417486523
Addiction Medicine (Family Medicine) Physician Lafayette, IN

Innovative Medicine holds NPI 1417486523, with a primary taxonomy of addiction medicine (family medicine) physician and a practice location in Lafayette, IN. The number was issued on June 12, 2017 and the NPPES record was last updated on April 18, 2024. The record lists 4 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X Not listed
Adult Medicine Physician 207QA0505X Not listed
Obesity Medicine (Family Medicine) Physician 207QB0002X Not listed
Non-Pharmacy Dispensing Site 332900000X Not listed

Practice location

3554 Promenade Pkwy Ste H
Lafayette, IN 47909-8418
Phone: (765) 471-1100

Local context

Active NPPES records list 2 providers with addiction medicine (family medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 39 in Indiana and 1,636 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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