DR. LAWRENCE LOTTENBERG (NPI# 1346286184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346286184 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE LOTTENBERG |
| Other Name | LAWRENCE LOTTENBERG |
| Credential | MD |
| Practice Address |
11141 Parkview Plaza Dr Suite 305 Fort Wayne IN 46845-1713 |
| Mailing Address |
1234 E Dupont Rd Suite 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 8006335331 |
| Practice Fax Number | 2602662009 |
| Mailing Telephone | 2603737854 |
| Mailing Fax Number | 2604585664 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
ME27008 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 039175100 | 05 |
| Street Address |
11141 PARKVIEW PLAZA DR SUITE 305 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999840 | William R Cast | Otolaryngology | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 | 2005-08-10 |
| 1891236568 | Emily Kyburz | Dietitian, Registered | 11141 Parkview Plaza Dr, Ste 305b, Fort Wayne, IN 46845-1713 | 2017-03-15 |
| 1629440193 | Sarah Weaver | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1713 | 2015-10-23 |
| 1730563255 | Chelsea Rentschler | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2015-07-14 |
| 1699171975 | Taylor Hill | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2014-11-13 |
| 1174926919 | Debra Brice | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2014-10-08 |
| 1548661184 | Beth Burns | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2014-09-15 |
| 1346641644 | Grant Paul Tyler | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2014-09-06 |
| 1417383217 | Elizabeth A Daseler | Nurse Practitioner | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2013-09-25 |
| 1689922403 | Amanda Michelle Bolin | Dietitian, Registered | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1713 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174813497 | Charles Michael Morgan | Surgery | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-04-08 |
| 1427255033 | Karen Rae O'bosky | Surgery | 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 | 2007-06-27 |
| 1487670063 | Timothy H. Pohlman | Surgery | 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467761460 | Thomas Edwin Bailey | Surgery | 2642 S 1050 W, Lyons, IN 47443-7021 | 2010-09-26 |
| 1730184813 | Michael Allen Nemeth | Surgery | 85 E Us Highway 6 Ste 240, Valparaiso, IN 46383 | 2005-06-16 |
| 1932343373 | University Surgeons Critical Care, LLC | Surgery | 545 Barnhill Dr, Eh 242, Indianapolis, IN 46202-5112 | 2009-04-29 |
| 1497707517 | Evansville Surgical Associates, Inc | Surgery | 520 Mary St, Suite 520, Evansville, IN 47710-1682 | 2006-05-17 |
| 1356346027 | Roland Lincoln Thomas | Surgery | 85 E Us Highway 6 Ste 240, Valparaiso, IN 46383 | 2005-06-17 |
| 1760487425 | Jac Alan Cooper Sr. | Surgery | 85 E Us Highway 6 Ste 240, Valparaiso, IN 46383 | 2005-06-17 |
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.