Dane M Lee (NPI# 1780874388, PAC ID# 2961592720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1780874388 |
| PAC ID by PECOS | 2961592720 |
| Professional Enrollment ID | I20071217000405 |
| Full Name | Dane M Lee |
| Organization Legal Name | GREAT LAKES ANESTHESIA PC |
| Address |
9301 Connecticut Dr Crown Point IN 46307-7486 |
| Phone Number | 2197562100 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0648183442 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150166 | PINNACLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9301 Connecticut Dr, Crown Point, IN 46307-7486 | 2197562100 | GREAT LAKES ANESTHESIA PC |
| 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 | 5745229922 | GREAT LAKES ANESTHESIA PC |
| Organization Legal Name | GREAT LAKES ANESTHESIA PC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam D Simpson | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Jason L Ford | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| William A Jones | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Scott Michael Sondgerath | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 500 Arcade Ave, Suite 100, Elkhart, IN 46514-2478 |
| Rodrigo Garcia | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Breann M Kutzer Mcmanus | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Marlene Dee Ford | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Reed Stockman | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Walter V Spasevski | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Robert J Colcord | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Street Address |
9301 CONNECTICUT DR |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-7486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther H Lee | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Arsenio S Favor | General Surgery | 9301 Connecticut Dr, Crown Point, IN 46307-7486 | |
| Donald W Kucharzyk | Orthopedic Surgery | 9301 Connecticut Dr, Crown Point, IN 46307-7486 | |
| Walter V Spasevski | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Robert J Colcord | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Norma R Odar | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| James M Forde | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Barrett Fricke | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Maximo V Bleza | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Daniel Bermea | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
| Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
| Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Kenneth W Blumenthal | Allergy/immunology | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Find all physicians in zip 46307 | |||
| City | CROWN POINT |
| Zip Code | 46307 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CROWN POINT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.