LAKE GEORGE SURGERY CENTER, LLC (NPI# 1457960536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457960536 |
| Entity Type | Organization |
| Organization Name | LAKE GEORGE SURGERY CENTER, LLC |
| Practice Address |
6245 N Old 27 Ste A10 Fremont IN 46737-8707 |
| Mailing Address |
302 N Fiske Rd Coldwater MI 49036-9138 |
| Practice Telephone | 5174628283 |
| Mailing Telephone | 5174628283 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | KATHY MECCIA (RN ADMINISTRATOR) |
| Authorized Official Telephone | 5174628283 |
| Authorized Official Credential | RNBC, BSN, CNOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
6245 N OLD 27 STE A10 |
| City | FREMONT |
| State | IN |
| Zip Code | 46737-8707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801809421 | Susan H. Mauk | Dentist | 1003 W Toledo Street, Fremont, IN 46737 | 2006-08-14 |
| 1871715359 | Fremont Family Dentistry, P.C. | Dentist | 1003 W Toledo Street, Fremont, IN 46737-0667 | 2007-05-03 |
| 1508955907 | Diane R Crisman | Speech-Language Pathologist | 401 South Broad St., Suite A, Fremont, IN 46737-0774 | 2006-10-12 |
| 1093368391 | Adam Stump | Dentist | 1003 W Toledo St, Fremont, IN 46737-2075 | 2019-07-17 |
| 1437263944 | Ted J. Crisman | Family Medicine | 401 S Broad St, Ste. B, Fremont, IN 46737-2114 | 2006-08-19 |
| 1346785722 | Full Potential. Inc | Community/Behavioral Health | 700 W Toledo St, P.o 187, Fremont, IN 46737-7606 | 2016-12-21 |
| 1790227288 | Alexandra Marie Friend | Rehabilitation Practitioner | 407 Charles Dr, Fremont, IN 46737-7615 | 2016-11-15 |
| 1558374876 | Christopher James Bretz | Acupuncturist | 804 Spring Hill Ct, Fremont, IN 46737-7625 | 2006-08-15 |
| 1699784686 | William Edward Bopp | Pharmacist | 6998 E 400 N, Fremont, IN 46737-8028 | 2006-08-07 |
| 1467067579 | Apollo Medical Group of Lake George LLC | Nurse Anesthetist, Certified Registered | 6245 N Old 27, Fremont, IN 46737-8711 | 2020-09-15 |
| Find all providers in zip 46737 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| 1750828109 | Webster Surgery Center, Lp | Clinic/Center | 39180 Farwell Drive, Suite 100, Fremont, CA 94538 | 2017-01-24 |
| 1255793758 | Mission Surgery Center, Inc. | Clinic/Center | 38437 Mission Blvd, Suite 102, Fremont, CA 94536-4318 | 2016-03-23 |
| 1306241534 | Sutter Bay Medical Foundation | Clinic/Center | 3120 Kearney St, Fremont, CA 94538-2292 | 2014-10-30 |
| 1780996868 | Fremont Surgery Center North | Clinic/Center | 39472 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2010-07-06 |
| 1497996524 | Sutter Bay Medical Foundation | Clinic/Center | 3140 Kearney St, Fremont, CA 94538-2292 | 2009-03-19 |
| 1649489832 | Fremont Surgical Center, LLC | Clinic/Center | 840 E 29th Street, Fremont, NE 68025 | 2007-05-22 |
| 1437102241 | Surgery Center of Fremont, LLC | Clinic/Center | 2727 N Clarkson St, Fremont, NE 68025-7713 | 2006-05-19 |
| 1851369284 | Fremont Ambulatory Surgery Center, Lp | Clinic/Center | 39350 Civic Center Dr Suite 100, Fremont, CA 94538-2331 | 2006-03-10 |
| 1356729636 | R Choice Surgical Center LLC | Clinic/Center | 2900 Elk Ln, Fremont, NE 68025-2433 | 2015-05-07 |
| Find all providers in FREMONT | ||||
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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.