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LAKE PARK SURGICARE, LLC
NPI 1073500930
Clinic/Center - Ambulatory Surgical in Hobart, IN

Active since October 05, 2005
7921 GRAND BLVD, HOBART, IN 46342(219) 942-9600(219) 947-9922 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Park Surgicare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE PARK SURGICARE, LLC (NPI 1073500930) is a healthcare organization registered as an ambulatory surgical in Hobart, Indiana and active in the NPI registry since October 2005. The organization lists Rebecca Maksimovich, Clinical Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073500930
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLAKE PARK SURGICARE, LLC
Location Address7921 GRAND BLVDHobart, IN 46342-6663
Mailing Address7921 Grand BlvdHobart, IN 46342-6663 · (219) 942-9600 · Fax (219) 947-9922
Phone(219) 942-9600
Fax(219) 947-9922
Organization SubpartNo
Authorized OfficialRebecca MaksimovichClinical Coordinator · (219) 942-9600
Enumeration DateOctober 5, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073500930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in IN · 261QA1903X
7921 GRAND BLVD, Hobart, IN 46342
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Other Identifiers 1

Other000000191299IN · Blue Cross

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Park Surgicare, LLC's NPI number?

The NPI number for Lake Park Surgicare, LLC is 1073500930. It was assigned to this organization in the NPPES registry on October 5, 2005.

Where is Lake Park Surgicare, LLC located?

Lake Park Surgicare, LLC is located at 7921 Grand Blvd, Hobart, IN 46342. The listed phone number is (219) 942-9600.

What is Lake Park Surgicare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Lake Park Surgicare, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.