Keith R Pitchford (NPI# 1568462729, PAC ID# 1254225584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1568462729 |
| PAC ID by PECOS | 1254225584 |
| Professional Enrollment ID | I20040618000124 |
| Full Name | Keith R Pitchford |
| Organization Legal Name | GREAT LAKES ORTHOPEDICS AND SPORTS MEDICINE, PC |
| Address |
1020 E Commercial Ave Lowell IN 46356-2310 |
| Phone Number | 2193650220 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
| Graduation Year | 1990 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 2062306384 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150034 | ST MARY MEDICAL CENTER INC |
| 150125 | COMMUNITY HOSPITAL |
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| 151324 | FRANCISCAN HEALTH RENSSELAER, INC |
| 150166 | PINNACLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9150 E 109th Ave, 1d Select Physical Theray, Crown Point, IN 46307-7687 | 2199881332 | SELECT MEDICAL REHABILITATION CLINICS INC |
| 1020 E Commercial Ave, Lowell, IN 46356-2310 | 2193650220 | GREAT LAKES ORTHOPEDICS AND SPORTS MEDICINE, PC |
| 9615 Keilman St, Saint John, IN 46373-9406 | 2193650220106 | GREAT LAKES ORTHOPEDICS AND SPORTS MEDICINE, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | GREAT LAKES ORTHOPEDICS AND SPORTS MEDICINE, PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy B Williams | Physician Assistant | Great Lakes Orthopedics and Sports Medicine, PC | 9615 Keilman St, Saint John, IN 46373-9406 |
| Mariah N Isaacs | Physician Assistant | Great Lakes Orthopedics and Sports Medicine, PC | 1020 E Commercial Ave, Lowell, IN 46356-2310 |
| Richard E Mcclain | Orthopedic Surgery | Great Lakes Orthopedics and Sports Medicine, PC | 9615 Keilman St, Saint John, IN 46373-9406 |
| Natasha Mandula | Podiatry | Great Lakes Orthopedics and Sports Medicine, PC | 1020 E Commercial Ave, Lowell, IN 46356-2310 |
| Street Address |
1020 E COMMERCIAL AVE |
| City | LOWELL |
| State | IN |
| Zip | 46356-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula A Skurka | Physical Therapy | 1020 E Commercial Ave, Lowell, IN 46356-2310 | |
| Mariah N Isaacs | Physician Assistant | Great Lakes Orthopedics and Sports Medicine, PC | 1020 E Commercial Ave, Lowell, IN 46356-2310 |
| Natasha Mandula | Podiatry | Great Lakes Orthopedics and Sports Medicine, PC | 1020 E Commercial Ave, Lowell, IN 46356-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge Medina | Internal Medicine | Franciscan Physician Network | 4500 W 181st Ave, Lowell Health Center, Lowell, IN 46356-0017 |
| Jolanta A Lopatniuk Lopez | Family Medicine | Franciscan Physician Network | 4500 W 181st Ave, Lowell Health Center, Lowell, IN 46356-0017 |
| Casey H Walker | Chiropractic | 2072 B E Commercial Ave, Lowell, IN 46356-2116 | |
| Belinda L Hubert | Psychologist, Clinical | Heartland Behavioral Health Inc | 2068 Lucas Pkwy, Suite 3, Lowell, IN 46356-2169 |
| Timothy Scott Gobek | Clinical Social Worker | Heartland Behavioral Health Inc | 2068 Lucas Pkwy, Suite 3, Lowell, IN 46356-2169 |
| Justin Bales | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1114 E Commercial Ave, Lowell, IN 46356-2359 |
| Beth S Dertz | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1114 E Commercial Ave, Lowell, IN 46356-2359 |
| Bradley W Summer | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1114 E Commercial Ave, Lowell, IN 46356-2359 |
| Michelle R Dykstra | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1114 E Commercial Ave, Lowell, IN 46356-2359 |
| Alyssa Grkinich | Optometry | Robert W Moses Od Professional Corporation | 117 Deanna Dr, Lowell, IN 46356-2402 |
| Find all physicians in zip 46356 | |||
| City | LOWELL |
| Zip Code | 46356 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LOWELL + ORTHOPEDIC SURGERY |
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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.