LAKE PARK CLINIC, P.C.
NPI 1083810253
Family Medicine in Hobart, IN

Active since June 25, 2007
1356 S LAKE PARK AVE, HOBART, IN 46342(219) 942-8518(219) 947-2751 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Park Clinic, P.c. NPPES

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

LAKE PARK CLINIC, P.C. (NPI 1083810253) is a healthcare organization registered as a family medicine in Hobart, Indiana and active in the NPI registry since June 2007. The organization lists Christine Jordan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083810253
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE PARK CLINIC, P.C.
Location Address1356 S LAKE PARK AVEHobart, IN 46342-5964
Mailing Address1356 S Lake Park AveHobart, IN 46342-5964 · (219) 942-8518 · Fax (219) 947-2751
Fax(219) 947-2751
Organization SubpartNo
Authorized OfficialChristine JordanOffice Manager · (219) 942-1422
Enumeration DateJune 25, 2007
Last NPPES UpdateJune 13, 2014
NPI 1083810253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1356 S LAKE PARK AVE, Hobart, IN 46342

Other Identifiers 7

Medicare PIN471340BIN
Other000000086604IN · Blue Cross Blue Shield
Medicaid100159850AIN
Medicare PIN011164281IN
Medicare PIN47134001IN
Other000000550461IN · Anthem
Medicare PIN471340AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1356 S LAKE PARK AVE
HOBART, IN 46342
Family Medicine
1356 S LAKE PARK AVE
HOBART, IN 46342
Family Medicine
1356 S LAKE PARK AVE
HOBART, IN 46342
Family Medicine
1356 S LAKE PARK AVE
HOBART, IN 46342

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 Clinic, P.C.'s NPI number?

The NPI number for Lake Park Clinic, P.C. is 1083810253. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Lake Park Clinic, P.C. located?

Lake Park Clinic, P.C. is located at 1356 S Lake Park Ave, Hobart, IN 46342. The listed phone number is (219) 942-8518.

What is Lake Park Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lake Park Clinic, P.C. was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.