LAKESHORE BONE & JOINT INSTITUTE, PC (NPI# 1194999896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194999896 |
| Entity Type | Organization |
| Organization Name | LAKESHORE BONE & JOINT INSTITUTE, PC |
| Practice Address |
3691 Willowcreek Rd Portage IN 46368-5076 |
| Mailing Address |
601 Gateway Blvd N Chesterton IN 46304-9658 |
| Practice Telephone | 2199211444 |
| Practice Fax Number | 2199210533 |
| Mailing Telephone | 2199211444 |
| Mailing Fax Number | 2199215303 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | DR. THOMAS H KAY (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 |
|---|---|---|---|---|
| 1699317529 | Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | 759 45th St Ste 201, Munster, IN 46321-2938 | 2019-10-11 |
| 1457514234 | Lakeshore Bone & Joint Institute, PC | Specialist | 600 Legacy Plaza East, La Porte, IN 46350-5254 | 2008-07-02 |
| 1346414976 | Lakeshore Bone & Joint Institute, PC | Specialist | 2501 Cumberland Dr, Valparaiso, IN 46383-2503 | 2008-04-15 |
| 1104090893 | Lakeshore Bone & Joint Institute, PC | Podiatrist | 1550 S Woodland Ave, Michigan City, IN 46360-7125 | 2008-04-15 |
| 1386818078 | Lakeshore Bone & Joint Institute, PC | Specialist | 12800 Mississippi Pkwy Ste A201, Crown Point, IN 46307-6902 | 2008-04-15 |
| 1184117228 | Lakeshore Bone & Joint Institute, PC | Clinic/Center | 1225 E Coolspring Ave Ste 2f, Michigan City, IN 46360 | 2018-06-13 |
| 1457744161 | Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | 833 W Lincoln Hwy Ste 110, Schererville, IN 46375-1674 | 2015-03-05 |
| 1811308430 | Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | 402 W Culver Rd, Knox, IN 46534-2200 | 2014-05-16 |
| 1508853953 | Lakeshore Bone & Joint Institute, PC | Specialist | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2005-09-30 |
| Street Address |
3691 WILLOWCREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672740 | Clark Tanner Bilbrey | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5080 | 2020-06-02 |
| 1669936498 | Krista S Nguyen | Nurse Practitioner | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2019-01-25 |
| 1518459882 | Curtis Reid Munday | Physical Therapy Assistant | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2018-06-03 |
| 1487015525 | Ernest Delgado | Physical Therapy Assistant | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2016-03-17 |
| 1871954495 | Charles Hesser | Specialist/Technologist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2016-03-09 |
| 1659730455 | Kathryn Dumortier | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-22 |
| 1699134874 | Joshua Eggleston | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-17 |
| 1710346929 | Joy Brown | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-16 |
| 1346672979 | Jared Wayne | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2013-08-06 |
| 1700197332 | Sandra Lee Woodworth | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| 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 |
|---|---|---|---|---|
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1154875854 | Toni Latham | Specialist | 3215 Stonebridge Ct, Apt. 9, Portage, MI 49024-8000 | 2016-08-10 |
| 1093924615 | Christine Jubina | Specialist | 394 Golf Course Rd, Portage, PA 15946-6018 | 2007-05-21 |
| 1245452481 | Plastic Surgery of Kalamazoo,pc | Specialist | 7901 South 12th Street, Suite 100, Portage, MI 49024 | 2007-05-03 |
| 1891914867 | Hickner Eye Center, P.C. | Specialist | 1906 W Milham Ave, Portage, MI 49024 | 2007-04-25 |
| 1740308964 | David R Areaux | Specialist | West Michigan Ear, Nose & Throat, 3850 Glenkerry Court, Portage, MI 49024 | 2007-03-26 |
| 1063440311 | Larry R Walton | Specialist | 1220 West Milham Ave, Portage, MI 49024-1206 | 2006-06-28 |
| 1104277672 | Samantha Kohn | Specialist | 9616 Portage Rd, Portage, MI 49002-7257 | 2016-06-27 |
| 1164873618 | Hannah Patricia Christensen | Specialist | 9616 Portage Rd, Portage, MI 49002-7257 | 2016-06-27 |
| 1558712935 | Ayanna Frazier | Specialist | 9616 Portage Rd, Portage, MI 49002-7257 | 2016-06-27 |
| Find all providers in PORTAGE | ||||
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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.