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

Lakeshore Bone & Joint Institute, PC

Organization Specialist · NPI 1194999896

Lakeshore Bone & Joint Institute, PC is a Specialist in Portage, Indiana. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
13
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

3691 Willowcreek Rd
Portage, IN 46368-5076
Phone: (219) 921-1444
Fax: (219) 921-0533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Anesthesiology Physician Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Neurological Surgery Physician Taxonomy 207T00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Podiatrist Taxonomy 213E00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1194999896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Anderson — President · (219) 921-1444
NPI enumeratedApril 15, 2008
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address601 Gateway Blvd N, Chesterton, IN 46304-9658

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