MEDICARE: CEDRIC LAVAR MAYFIELD JR. PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	10004615A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023842390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CEDRIC LAVAR MAYFIELD JR. PA-C

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	253 SAGAMORE PKWY W
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-1501
Country	:	US
Telephone Number	:	765-448-8000
Fax Number	:	765-448-7604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2024
Last Update Date	:	06/02/2026

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1962471995 — SALMAN MASEEH HUSAIN MD
Practice Location Address:

253 SAGAMORE PKWY W
WEST LAFAYETTE, IN
47906-1501

Practice Phone: 765-448-8000
Practice Fax: 765-446-7023

1093784662 — ANDREW KEITH EDWARDS MD
Practice Location Address:

253 SAGAMORE PKWY W
WEST LAFAYETTE, IN
47906-1501

Practice Phone: 765-448-8000
Practice Fax: 765-446-7023

1346335197 — CHERYL R ARVANITIS DO
Practice Location Address:

253 SAGAMORE PKWY W
WEST LAFAYETTE, IN
47906-1501

Practice Phone: 765-448-8001
Practice Fax:

1730623604 — JULIE T MASSOTH NP
Practice Location Address:

253 SAGAMORE PKWY W
WEST LAFAYETTE, IN
47906-1501

Practice Phone: 812-996-0323
Practice Fax: 812-996-0321

1407883960 — SARAH ANTALIS MD
Practice Location Address:

253 SAGAMORE PKWY W
W LAFAYETTE, IN
47906-1501

Practice Phone: 765-448-8000
Practice Fax:

Directions to “ CEDRIC LAVAR MAYFIELD JR. PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.