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MR. DOUGLAS JOHN LADIKA PA-C
NPI 1104076769
Physician Assistant - Medical in Thorntown, IN

Active since September 19, 2008PECOS Enrolled
151 E BOW ST, THORNTOWN, IN 46071(765) 436-2400(765) 436-7375 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2021, Jul 7, 2018, Jun 23, 2017 and 1 more (4 updates tracked since 2016).

About Mr. Douglas John Ladika Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS JOHN LADIKA PA-C (NPI 1104076769) is an individual medical provider in Thorntown, Indiana, licensed in Indiana (10000987A) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104076769
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DOUGLAS JOHN LADIKACredential: PA-C
Location Address151 E BOW STThorntown, IN 46071
Mailing Address2705 N Lebanon St Ste 305Lebanon, IN 46052-8622
Phone(765) 436-2400
Fax(765) 436-7375
Sole ProprietorNo
Enumeration DateSeptember 19, 2008
Last NPPES UpdateApril 28, 20214 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1104076769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IN · 10000987A
151 E BOW ST, Thorntown, IN 46071
Open in Google Maps ↗

Other Names 1

Other Name (5)Doug Ladika

Other Identifiers 1

Medicaid300004507IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Douglas John Ladika Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. J. CHRISTOPHER SHANK M.D.
Family Medicine
151 E BOW ST
THORNTOWN, IN 46071
Boone County (765) 436-2400
BARBARA S CLICK NP
Nurse Practitioner
151 E BOW ST
THORNTOWN, IN 46071
Boone County (765) 436-2400
DR. JOSEPH WILLIAM KECK DDS
Dentist (General Practice)
151 E BOW ST
THORNTOWN, IN 46071
Boone County (765) 436-2433
LINDSAY C. KETZNER MD
Family Medicine
151 E BOW ST
THORNTOWN, IN 46071
Boone County (765) 436-2400
ALENA MARCI SENTIR LMHC, ATR-BC
Counselor (Mental Health)
151 E BOW ST
THORNTOWN, IN 46071
Boone County (765) 680-0071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Ladika's NPI number?

The NPI number for Douglas Ladika is 1104076769. It was assigned to this individual provider in the NPPES registry on September 19, 2008. The provider is also known as Doug Ladika.

Where is Douglas Ladika located?

Douglas Ladika practices at 151 E Bow St, Thorntown, IN 46071. The listed phone number is (765) 436-2400.

What is Douglas Ladika's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Douglas Ladika enrolled in Medicare?

Yes. Douglas Ladika is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Ladika was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.