LAKE UROLOGY, LLC (NPI# 1144532656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144532656 |
| Entity Type | Organization |
| Organization Name | LAKE UROLOGY, LLC |
| Practice Address |
8558 Broadway Merrillville IN 46410-7032 |
| Mailing Address |
Po Box 3060 Munster IN 46321-0060 |
| Practice Telephone | 2197360616 |
| Mailing Telephone | 2198366241 |
| Mailing Fax Number | 2198362433 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Authorized Official Name | VICKI ORR (BILLER) |
| Authorized Official Telephone | 2198366241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01036410A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
8558 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811534423 | Julie Elizabeth Nyhus | Family Medicine | 8558 Broadway, Merrillville, IN 46410-7032 | 2019-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407989932 | Tyler E Emley | Urology | 400 West 84th Dr, Merrillville, IN 46410 | 2007-03-13 |
| 1417018094 | P.r. Unni PC | Urology | 371 E 84th Dr, Merrillville, IN 46410-6484 | 2006-12-13 |
| 1477648566 | Uro Surgery Associates LLC | Urology | 400 W 84th Dr., Merrillville, IN 46410-6248 | 2006-10-04 |
| 1073596706 | Bassem Atassi | Urology | 206 E 86th Pl, Merrillville, IN 46410-6258 | 2005-11-28 |
| 1063493542 | Ramakrishnan P Unni | Urology | 400 West 84th Dr., Merrillville, IN 46410 | 2005-11-10 |
| 1427039205 | Ramesh Unni | Urology | 400 West 84th Drive, Merrillville, IN 46410 | 2005-11-09 |
| 1487646055 | Nishendu Baxi | Urology | 400 W 84th Dr, Merrillville, IN 46410-6248 | 2005-08-18 |
| 1598026684 | Ryan M Swearingen | Urology | 400 W 84th Dr, Merrillville, IN 46410-6248 | 2012-06-05 |
| 1790946168 | Manoj V Rao | Urology | 400 W 84th Dr, Merrillville, IN 46410-6248 | 2008-06-18 |
| 1285837138 | B. Atassi Md PC | Urology | 206 E 86th Pl, Merrillville, IN 46410-6258 | 2007-06-07 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.