John M Gorup
Orthopaedic Spine Surgeon
1345 Unity Place Suite 310
Lafayette
, Indiana 47905-5769
John M Gorup
Orthopaedic Spine Surgeon
1345 Unity Place Suite 310
Lafayette
, Indiana 47905-5769
(765) 449-1196
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- John M Gorup
- Po Box 4699
- Lafayette, IN
- Zip : 47903-4699
- Fax : (765) 449-1196
- Phone : (765) 449-2732
Second Address
- John M Gorup
- 1345 Unity Place Suite 310
- Lafayette, IN
- Zip : 47905-5769
- Fax : (765) 446-5211
- Phone : (765) 446-5215
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 01046921A | IN |
National Provider Identifier
| NPI | 1215906029 |
|---|---|
| Provider Name | John M Gorup |
| First Address | Lafayette, IN 47903-4699 |
| Second Address | Lafayette, IN 47905-5769 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2006 |
| Last Update Date | 22/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000110519 | ANTHEM PROVIDER NUMBER (01) | IN |
| 200029859 | RAILROAD MEDICARE (01) | IN |
| 200146050 | (05) | IN |
| G29444 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.