LAKESHORE BONE & JOINT INSTITUTE, INC


Address: 2855 Miller Dr, Plymouth, IN 46563-8091
Phone: 2199211305

LAKESHORE BONE & JOINT INSTITUTE, INC (NPI# 1861899056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861899056
Entity Type Organization
Organization Name LAKESHORE BONE & JOINT INSTITUTE, INC
Practice Address 2855 Miller Dr
Plymouth
IN 46563-8091
Mailing Address 601 Gateway Blvd N
Chesterton
IN 46304-9658
Practice Telephone 2199211305
Practice Fax Number 2199266932
Mailing Telephone 2199211305
Mailing Fax Number 2199266932
Enumeration Date 2014-12-03
Last Update Date 2014-12-04
Authorized Official Name DR. THOMAS H KAY (PRESIDENT)
Authorized Official Telephone 2199211305
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist Other Service Providers
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295909984 Lakeshore Bone & Joint Institute, Inc Specialist 7835 Grand Blvd, Hobart, IN 46342-6665 2008-04-15
1376714345 Lakeshore Bone & Joint Institute, Inc Podiatrist 601 Gateway N Blvd, Chesterton, IN 46304-9658 2008-03-18
1518374750 Lakeshore Bone & Joint Institute, Inc Podiatrist 2501 Cumberland Dr, Valparaiso, IN 46383-2503 2014-07-21
1740454438 Lakeshore Bone & Joint Institute, Inc Specialist 85 E Us Highway 6, Valparaiso, IN 46383-8917 2008-04-15
1194999888 Lakeshore Bone & Joint Institute, Inc Specialist 3777 Frontage Rd, Suite 900, Michigan City, IN 46360-7695 2008-04-15

Office Location

Street Address 2855 MILLER DR
City PLYMOUTH
State IN
Zip Code 46563-8091

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619082518 Kristine Sayers Physical Therapist 2855 Miller Dr, Suite 105, Plymouth, IN 46563-8091 2006-08-20
1033540638 Alissa Whittaker Nurse Practitioner 2855 Miller Dr, Suite 117, Plymouth, IN 46563-8091 2013-12-06
1508138009 Hazel Sheril Trinidad Physical Therapist 2855 Miller Dr, Suite 105, Plymouth, IN 46563-8091 2012-01-31
1972831311 Beacon Medical Group, Inc. Internal Medicine 2855 Miller Dr, Suite 121, Plymouth, IN 46563-8091 2009-11-23
1851628929 Fms Nephrology Partners North Central Indiana Dialysis Centers, LLC Clinic/Center 2855 Miller Dr, Plymouth, IN 46563-8091 2009-11-11
1619109915 Discover Health Chiropractic LLC Chiropractor 2855 Miller Dr, Ste 101, Plymouth, IN 46563-8091 2009-08-20
1124257696 Julie Marie Brandy Nurse Practitioner 2855 Miller Dr, Suite 119, Plymouth, IN 46563-8091 2009-07-06
1811145659 Carla Ruthann Kelley Physical Therapy Assistant 2855 Miller Dr, Suite 105, Plymouth, IN 46563-8091 2008-09-05
1871740456 Plymouth Rehab, LLC Physical Therapist 2855 Miller Dr, Suite 105, Plymouth, IN 46563-8091 2008-08-26
1033302203 Lifeplex Diagnostic Center, L.L.C. Clinic/Center 2855 Miller Dr, Suite 113, Plymouth, IN 46563-8091 2007-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811547748 Steven N Wolff Pharmacist Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 2019-09-12
1295280923 Multi-county Ems LLC Ambulance 5034 Redwood Road, Plymouth, IN 46563 2016-08-23
1356473060 Donna Michelle Eggers Speech-Language Pathologist 1915 Lake Avenue, Plymouth, IN 46563 2007-03-09
1629103684 Marshall County Council On Aging Home Delivered Meals 1305 W Harrison Street, Plymouth, IN 46563 2007-02-22
1063561272 Associates In Clinical Psychology PC Psychiatric Residential Treatment Facility 317 West Monroe St, Plymouth, IN 46563 2007-01-09
1316005911 Michiana Eye Center LLC Optometrist 320 Meadow Ln, Plymouth, IN 46563 2006-12-05
1487722948 Allen Edward Reese Hearing Instrument Specialist 322 N. Michigan St., Suite C, Plymouth, IN 46563 2006-12-01
1508932252 Thomas A Miller Chiropractor 1071 Lincolnway E, Plymouth, IN 46563 2006-11-27
1679540991 Mukesh Garg Internal Medicine 2349 Lake Ave Ste 99, Plymouth, IN 46563 2006-03-06
1982686242 Woodlawn Hospital Skilled Nursing Facility 9601 Union Rd, Plymouth, IN 46563 2005-11-14
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316411929 Orthopedic Care Physician Network LLC Plymouth Orthopaedic Surgery 225 Water St Ste C105, Plymouth, MA 02360-4062 2019-01-16
1437183886 Daniel Oneill Orthopaedic Surgery 12 Yeaton Rd, Ste C4, Plymouth, NH 03264-3457 2006-07-10
1164428223 Wayzata Orthopedic's P.a. Orthopaedic Surgery 2805 Campus Dr, Ste 425, Plymouth, MN 55441-2680 2005-06-23
1225427487 Orthopedic Care Physician Network LLC Orthopaedic Surgery 225 Water St, Suite C-105, Plymouth, MA 02360-4060 2015-01-12
1275942484 The Alpine Clinic, Pllc Orthopaedic Surgery 12 Yeaton Rd, Suite C4, Plymouth, NH 03264-3457 2014-08-13
1013349315 Aaron Beck Orthopaedic Surgery 41 Resnik Rd, Plymouth, MA 02360-4842 2013-08-08
1598103913 Roman Gabriel Guerrero-maestre Orthopaedic Surgery 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 2013-06-07
1033487582 Littleton Hospital Association Orthopaedic Surgery 12 Yeaton Rd, Dr. Daniel O'neill, Plymouth, NH 03264-3457 2011-12-12
1528213428 Speare Memorial Hospital Orthopaedic Surgery 103 Boulder Point Dr, Plymouth, NH 03264-3168 2008-11-20
1558537951 Steven Koufman Leckie Orthopaedic Surgery 41 Resnik Rd, Plymouth, MA 02360-4842 2008-05-06
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City PLYMOUTH
Zip Code 46563

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Dataset Information

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.

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