Scott C Gogulski (NPI# 1558332718, PAC ID# 8123017142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558332718 |
| PAC ID by PECOS | 8123017142 |
| Professional Enrollment ID | I20180626001088 |
| Full Name | Scott C Gogulski |
| Organization Legal Name | LA PORTE CLINIC COMPANY LLC |
| Address |
3777 N Frontage Rd Michigan City IN 46360-7695 |
| Phone Number | 2198746297 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446558357 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150006 | LA PORTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 104 E Culver Rd, Knox, IN 46534-2241 | LA PORTE CLINIC COMPANY LLC | |
| 3777 N Frontage Rd, Michigan City, IN 46360-7695 | 2198746297 | LA PORTE CLINIC COMPANY LLC |
| Organization Legal Name | LA PORTE CLINIC COMPANY LLC |
| Physicians | 85 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Oudhuis | Nurse Practitioner | La Porte Clinic Company LLC | 400 Legacy Plz W, La Porte, IN 46350-5296 |
| Dustin T Simcoe | Physician Assistant | La Porte Clinic Company LLC | 500 Legacy Plz W, La Porte, IN 46350-5254 |
| Diana M Correll | Physician Assistant | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
| Megan L Vermilyer | Nurse Practitioner | La Porte Clinic Company LLC | 1509 State St, La Porte, IN 46350-3115 |
| Sarah D Knapp | Nurse Practitioner | La Porte Clinic Company LLC | 3777 N Frontage Rd, Michigan City, IN 46360-7695 |
| Wendy R Dutcher | Nurse Practitioner | La Porte Clinic Company LLC | 400 Teegarden St, La Porte, IN 46350-3175 |
| Jennifer K Vanmeter | Certified Nurse Midwife (cnm) | La Porte Clinic Company LLC | 601 W Kieffer Rd, Michigan City, IN 46360-9599 |
| Sandra L Ringer | Clinical Social Worker | La Porte Clinic Company LLC | 104 E Culver Rd, Knox, IN 46534-2241 |
| Christopher A Conn | General Surgery | La Porte Clinic Company LLC | 600 Legacy Plz W, La Porte, IN 46350-5268 |
| Joseph R Arulandu | Internal Medicine | La Porte Clinic Company LLC | 7002 W Johnson Rd, La Porte, IN 46350-8289 |
| Street Address |
3777 N FRONTAGE RD |
| City | MICHIGAN CITY |
| State | IN |
| Zip | 46360-7695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah D Knapp | Nurse Practitioner | La Porte Clinic Company LLC | 3777 N Frontage Rd, Michigan City, IN 46360-7695 |
| Tia Javante Dorn | Family Medicine | La Porte Clinic Company LLC | 3777 N Frontage Rd, Michigan City, IN 46360-7695 |
| Rodney L Guimont Jr. | Family Medicine | La Porte Clinic Company LLC | 3777 N Frontage Rd, Michigan City, IN 46360-7695 |
| Maribonn Tiangson | Internal Medicine | La Porte Clinic Company LLC | 3777 N Frontage Rd, Michigan City, IN 46360-7695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanpreet Kaur | Pulmonary Disease | Franciscan Physician Network | 3500 N Franciscan Way, Suite 400, Michigan City, IN 46360-0021 |
| Vidya S Kora | Internal Medicine | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Brian Paul Dickover | Pulmonary Disease | Franciscan Physician Network | 3500 Franciscan Way, Suite 400, Michigan City, IN 46360-0021 |
| Jennifa K Thomas | Nurse Practitioner | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Paul W Cheng | Cardiovascular Disease (cardiology) | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Stan Tovsky | Anesthesiology | Lakeshore Interventional Pain Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Olusola O Ogundipe | Hematology/oncology | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Syed R Majid | Hospitalist | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Peter A. Zack | Emergency Medicine | Epmg of Indiana PC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Charles Cooper | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Find all physicians in zip 46360 | |||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MICHIGAN CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Scott C Gogulski.
| 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.