LAKE SURGICAL ASSOCIATES, LLC – NPI #1275673865
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

LAKE SURGICAL ASSOCIATES, LLC is a surgeon located in MUNSTER, IN. NPPES has assigned the NPI number 1275673865 to LAKE SURGICAL ASSOCIATES, LLC on February 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 18 years ago on Mar 19, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE SURGICAL ASSOCIATES, LLC below.

NPI Profile for
LAKE SURGICAL ASSOCIATES, LLC

NPI Number
1275673865
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE SURGICAL ASSOCIATES, LLC
Primary location
10110 DONALD POWERS DR.
STE. 202
MUNSTER, IN 46321
Phone: (219) 922-0222 Fax: (219) 922-8899
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RUSSELL PELLAR
DOCTOR
Phone: (219) 922-0222
Updated
Identifiers

Identifiers for LAKE SURGICAL ASSOCIATES, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD ILIL90001007
OTHERRRMEDICAREINCH5506
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
IN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.