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

Great Lakes Orthopedics & Sports Medicine, PC

Organization Orthopaedic Surgery Physician · NPI 1669472270

Great Lakes Orthopedics & Sports Medicine, PC is an Orthopaedic Surgery Physician in Saint John, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9615 Keilman St
Saint John, IN 46373-9406
Phone: (219) 365-0220
Fax: (219) 365-0226
Show map & directions

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

Additional practice locations (1)

  • 1020 E Commercial Ave, Lowell, IN 46356-2310 — (219) 696-6353

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 02002102 (IN)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 07001187A (IN)

Record details

NPI number1669472270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Pitchford — President/Ceo · (219) 365-0220
NPI enumeratedJuly 26, 2005
Last updated in NPPESMarch 17, 2018
Mailing address9615 Keilman St, Saint John, IN 46373-9406

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