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SIA OCCUPATIONAL MEDICAL CLINIC
NPI 1255085379
Clinic/Center - Multi-Specialty in Lafayette, IN

Active since February 08, 2022
5500 STATE ROAD 38 E, LAFAYETTE, IN 47905(765) 588-5667(765) 449-8408 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Feb 8, 2022 (2 updates tracked since 2022).

About Sia Occupational Medical Clinic NPPES

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

SIA OCCUPATIONAL MEDICAL CLINIC (NPI 1255085379) is a healthcare organization registered as a multi-specialty in Lafayette, Indiana and active in the NPI registry since February 2022. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1255085379
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL, P.C.
Location Address5500 STATE ROAD 38 ELafayette, IN 47905-9405
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(765) 588-5667
Fax(765) 449-8408
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateFebruary 8, 2022
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1255085379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5500 STATE ROAD 38 E, Lafayette, IN 47905
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Other Names 1

Doing Business AsSia Occupational Medical Clinic

Other Providers at the Same Location NPPES 2

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

MRS. CECILIA ANN WINKLER FNP
Nurse Practitioner (Family)
5500 STATE ROAD 38 E
LAFAYETTE, IN 47905
Tippecanoe County (765) 449-6790
BRANDI N. EDMONDS NP
Nurse Practitioner
5500 STATE ROAD 38 E
LAFAYETTE, IN 47905
Tippecanoe County (765) 449-6789

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 Premise Health Of Indiana Medical, P.C.'s NPI number?

The NPI number for Premise Health Of Indiana Medical, P.C. is 1255085379. It was assigned to this organization in the NPPES registry on February 8, 2022. The provider is doing business as Sia Occupational Medical Clinic.

Where is Premise Health Of Indiana Medical, P.C. located?

Premise Health Of Indiana Medical, P.C. is located at 5500 State Road 38 E, Lafayette, IN 47905. The listed phone number is (765) 588-5667.

What is Premise Health Of Indiana Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Premise Health Of Indiana Medical, P.C. was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.