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WARSAW HEALTH SYSTEM LLC NPI 1255436648


NPI Information

NPI: 1255436648
Provider Name: WARSAW HEALTH SYSTEM, LLC

Doing Business As: NORTHERN LAKES ORTHOPAEDICS & SPORTS MEDICINE

Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
3505 LAKE CITY HWY
WARSAW, IN
ZIP 46580
Phone: (574) 372-5823
Get Directions

WARSAW HEALTH SYSTEM, LLC is a neuromusculoskeletal medicine sports medicine in Warsaw, IN. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ WARSAW HEALTH SYSTEM, LLC NPI is 1255436648. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northern Lakes Orthopaedics & Sports Medicine.

The provider's business location address is:

3505 LAKE CITY HWY
WARSAW, IN
ZIP 46580-942
Phone: (574) 372-5823

The provider's authorized official is Rebecca Hurley .
The authorized official title is Senior Vice President and has the following contact phone number (214) 473-3993.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes
2207X00000XOrthopaedic SurgeryX
3207XX0005XOrthopaedic SurgerySports MedicineX
4332B00000XDurable Medical Equipment & Medical SuppliesX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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