Great Lakes Orthopedics & Sports Medicine, PC
NPI 1669472270ActiveOrganization· Orthopaedic Surgery· Saint John, IN
Orthopaedic Surgery in Saint John, Indiana, registered in NPPES in July 2005. The authorized official on file is Keith R. Pitchford, DO, President/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669472270 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2005 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 02002102 | IN |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 07001187A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
Other Orthopaedic Surgery providers in Saint John
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- 1568462729