Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Anesthesia, PC

Organization Anesthesiology Physician · NPI 1720039977

Great Lakes Anesthesia, PC is an Anesthesiology Physician in Elkhart, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 E Beardsley Ave Ste 209
Elkhart, IN 46514-3371
Phone: (574) 522-9922
Fax: (574) 522-9926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X (IN)

Record details

NPI number1720039977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Claxton — Ceo · (574) 522-9922
NPI enumeratedMay 12, 2006
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing addressPo Box 2147, Elkhart, IN 46515-2147

Other providers in Elkhart