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GREAT LAKES ORTHOPEDICS & SPORTS MEDICINE, PC
NPI 1669472270
Orthopaedic Surgery in Saint John, IN

Active since July 26, 2005
9615 KEILMAN ST, SAINT JOHN, IN 46373(219) 365-0220(219) 365-0226 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jan 9, 2018 (2 updates tracked since 2018).

About Great Lakes Orthopedics & Sports Medicine, Pc NPPES

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

GREAT LAKES ORTHOPEDICS & SPORTS MEDICINE, PC (NPI 1669472270) is a healthcare organization registered as an orthopaedic surgery in Saint John, Indiana and active in the NPI registry since July 2005. The organization maintains a secondary practice location in Lowell and lists Keith R. Pitchford, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1669472270
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameGREAT LAKES ORTHOPEDICS & SPORTS MEDICINE, PC
Location Address9615 KEILMAN STSaint John, IN 46373-9406
Mailing Address9615 Keilman StSaint John, IN 46373-9406 · (219) 365-0220 · Fax (219) 365-0226
Phone(219) 365-0220
Fax(219) 365-0226
Organization SubpartNo
Authorized OfficialKeith R. PitchfordPresident/ceo · (219) 365-0220
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1669472270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IN · 02002102
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.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 07001187A (IN)
9615 KEILMAN ST, Saint John, IN 46373
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Secondary Practice Location 1

Location 11020 E Commercial AveLowell, IN 46356-2310 · Phone (219) 696-6353 · Fax (219) 696-6368

Other Identifiers 2

Other90001186IL · Bc/bs Il
OtherDC2442IN · Railroad Medicare

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 6

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

MR. RAMI W MUSLEH PA C
Physician Assistant (Surgical)
9615 KEILMAN ST
SAINT JOHN, IN 46373
Lake County (219) 365-0220
CENTER FOR ORTHOTIC & PROSTHETIC EXCELLENCE, LLC
Prosthetic/Orthotic Supplier
9615 KEILMAN ST, SUITE 200
SAINT JOHN, IN 46373
Lake County (219) 365-0248
MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC
Clinic/Center (Multi-Specialty)
9615 KEILMAN ST
SAINT JOHN, IN 46373
Lake County (773) 362-2914
GREAT LAKES ORTHOPEDICS PHYSICAL THERAPY P.C.
Physical Therapist
9615 KEILMAN ST
SAINT JOHN, IN 46373
Lake County (219) 365-0220
REHABILITATION & MUSCULOSKELETAL MEDICINE SPECIALIST, LLC
Physical Medicine & Rehabilitation
9615 KEILMAN ST
SAINT JOHN, IN 46373
Lake County (219) 365-2896
ALYSSA TRIPP PA
Physician Assistant (Surgical)
9615 KEILMAN ST
SAINT JOHN, IN 46373
Lake County (219) 365-0220

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 Great Lakes Orthopedics & Sports Medicine, PC's NPI number?

The NPI number for Great Lakes Orthopedics & Sports Medicine, PC is 1669472270. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Great Lakes Orthopedics & Sports Medicine, PC located?

Great Lakes Orthopedics & Sports Medicine, PC is located at 9615 Keilman St, Saint John, IN 46373. The listed phone number is (219) 365-0220.

What is Great Lakes Orthopedics & Sports Medicine, PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Orthopedics & Sports Medicine, PC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.