Provider Demographics
NPI:1427193796
Name:LAFAYETTE PODIATRY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:LAFAYETTE PODIATRY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEIKHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:765-449-4758
Mailing Address - Street 1:2020 UNION ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-2694
Mailing Address - Country:US
Mailing Address - Phone:765-449-4758
Mailing Address - Fax:765-449-0659
Practice Address - Street 1:2020 UNION ST STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-2694
Practice Address - Country:US
Practice Address - Phone:765-449-4758
Practice Address - Fax:765-449-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN52000083A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN142890Medicare ID - Type Unspecified
IN1325250001Medicare NSC