LAKESHORE ANESTHESIA, P.C. (NPI# 1548210560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548210560 |
| Entity Type | Organization |
| Organization Name | LAKESHORE ANESTHESIA, P.C. |
| Practice Address |
1755 Fulton St Ste. A Elkhart IN 46514-1927 |
| Practice Telephone | 5745220800 |
| Practice Fax Number | 5745220800 |
| Mailing Telephone | 5745220800 |
| Mailing Fax Number | 5745220600 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | DEREK CHEUK (PRESIDENT/CEO) |
| Authorized Official Telephone | 5745220800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200196230 | 05 |
| Street Address |
1755 FULTON ST STE. A |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437680360 | Susan Freisinger | Nurse Anesthetist, Certified Registered | 1755 Fulton St, Elkhart, IN 46514-1927 | 2017-03-22 |
| 1518338235 | Elkhart Clinic, LLC | Clinic/Center | 1755 Fulton St, Suite A, Elkhart, IN 46514-1927 | 2015-10-08 |
| 1255580262 | Elkhart Clinic, LLC | Clinic/Center | 1755 Fulton St, Suite B, Elkhart, IN 46514-1927 | 2008-09-15 |
| 1962676106 | Patricia Welty | Audiologist | 1755 Fulton St, Suite A, Elkhart, IN 46514-1927 | 2008-04-18 |
| 1881894822 | Best Foot & Ankle Center, PC | Podiatrist | 1755 Fulton St, Suite B, Elkhart, IN 46514-1927 | 2007-07-18 |
| 1457432015 | Natalie D Cullinane | Anesthesiology | 1755 Fulton St, Elkhart, IN 46514-1927 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003469495 | Clinical Colleagues of Indiana PC | Anesthesiology | 500 Arcade Ave Ste 100, Elkhart, IN 46514-2478 | 2019-07-24 |
| 1174651228 | Tia Reardon | Anesthesiology | 500 N Nappanee St Ste 11b, Elkhart, IN 46514-1500 | 2007-03-01 |
| 1104882380 | Yaksha Thakrar | Anesthesiology | 3080 Windsor Ct Suite B, Elkhart, IN 46514 | 2006-04-25 |
| 1982678165 | Elizabeth Konefal | Anesthesiology | 500 N Nappanee, Suite 11b, Elkhart, IN 46514 | 2006-02-15 |
| 1952371155 | Beth Ann Snider | Anesthesiology | 500 N Nappance, Ste 11b, Elkhart, IN 46514 | 2006-01-23 |
| 1295719797 | Derek T Cheuk | Anesthesiology | 3080 Windsor Ct, Suite 8, Elkhart, IN 46514-5555 | 2005-11-30 |
| 1528065190 | Robert Bart Powers | Anesthesiology | 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 | 2005-06-28 |
| 1518301118 | Austin Wade Pulliam | Anesthesiology | 600 East Blvd, Elkhart, IN 46514-2483 | 2013-04-25 |
| 1821331703 | David Theophilus Gursky | Anesthesiology | 600 East Blvd, Elkhart, IN 46514-2483 | 2013-03-29 |
| 1366645178 | Jonathan D Schrock | Anesthesiology | 2310 California Road, Elkhart, IN 46514-1228 | 2007-06-08 |
| Find all providers in ELKHART | ||||
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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.