LAKESHORE BONE & JOINT INSTITUTE, INC (NPI# 1194999888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194999888 |
| Entity Type | Organization |
| Organization Name | LAKESHORE BONE & JOINT INSTITUTE, INC |
| Practice Address |
3777 Frontage Rd Suite 900 Michigan City IN 46360-7695 |
| Mailing Address |
601 Gateway Blvd N Chesterton IN 46304-9658 |
| Practice Telephone | 2199211444 |
| Practice Fax Number | 2199215303 |
| Mailing Telephone | 2199211444 |
| Mailing Fax Number | 2199215303 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2014-05-16 |
| Authorized Official Name | DR. BRUCE J THOMA (VICE- PRESIDENT) |
| Authorized Official Telephone | 2199211444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295909984 | Lakeshore Bone & Joint Institute, Inc | Specialist | 7835 Grand Blvd, Hobart, IN 46342-6665 | 2008-04-15 |
| 1376714345 | Lakeshore Bone & Joint Institute, Inc | Podiatrist | 601 Gateway N Blvd, Chesterton, IN 46304-9658 | 2008-03-18 |
| 1861899056 | Lakeshore Bone & Joint Institute, Inc | Specialist | 2855 Miller Dr, Plymouth, IN 46563-8091 | 2014-12-03 |
| 1518374750 | Lakeshore Bone & Joint Institute, Inc | Podiatrist | 2501 Cumberland Dr, Valparaiso, IN 46383-2503 | 2014-07-21 |
| 1740454438 | Lakeshore Bone & Joint Institute, Inc | Specialist | 85 E Us Highway 6, Valparaiso, IN 46383-8917 | 2008-04-15 |
| Street Address |
3777 FRONTAGE RD SUITE 900 |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-7695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989777 | Roman O Filipowicz | Neurological Surgery | 3777 Frontage Rd, Suite 400, Michigan City, IN 46360-7695 | 2005-06-02 |
| 1639567761 | Christina Matoski | Nurse Practitioner | 3777 Frontage Rd, Michigan City, IN 46360-7695 | 2014-12-23 |
| 1649523515 | Hayley Lois Bustos | Nurse Practitioner | 3777 Frontage Rd, Michigan City, IN 46360-7695 | 2012-10-17 |
| 1801924550 | Milton A Meinhardt | Neuromusculoskeletal Medicine & OMM | 3777 Frontage Rd, Michigan City, IN 46360-7695 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962640821 | Special Medicine Clinic | Specialist | 1501 Wabash St Ste 303, Michigan City, IN 46360-4355 | 2009-01-30 |
| 1235228818 | Sheila Mothkur | Specialist | 1501 Wabash St Ste 101, Michigan City, IN 46360-4364 | 2006-10-12 |
| 1285606590 | Oscar Dean Norton | Specialist | 8955 W 400 N, Michigan City, IN 46360-9330 | 2006-02-02 |
| 1013177864 | Weninger Medical Corp | Specialist | 8865 W 400 N, Michigan City, IN 46360-9222 | 2008-06-16 |
| 1548465271 | Robert James Lee | Specialist | 220 Dunes Plz, Michigan City, IN 46360-7340 | 2007-06-21 |
| 1528264264 | Nikole Ember Meredith | Specialist | 220 Dunes Plz, Michigan City, IN 46360-7340 | 2007-06-21 |
| 1295957959 | Woodland Pain Center | Specialist | 8865 W 400 N, Ste. 125, Michigan City, IN 46360-9222 | 2007-05-03 |
| 1700920048 | Michiana Cancer Treatment Center | Specialist | 1507 Wabash St, Michigan City, IN 46360-4300 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354274 | Center for Vascular Medicine In LLC | Specialist | 33 E County Line Rd Ste D, Greenwood, IN 46143-1078 | 2020-04-02 |
| 1659903599 | Ann M Samra-theurer | Specialist | 3988 Cobblestone Cv, New Haven, IN 46774-2078 | 2020-02-09 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1508320318 | Andrea Carlson | Specialist | 3570 E Lincoln Hwy, Merrillville, IN 46410-5830 | 2019-01-25 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1568995785 | Southlake Internal Medicine LLC | Specialist | 928 Mary Ellen Dr, Crown Point, IN 46307-8998 | 2017-04-05 |
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
Please comment or provide details below to improve the information on LAKESHORE BONE & JOINT INSTITUTE, INC.
| 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.