Franciscan Lakeshore ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FRANCISCAN LAKESHORE ASC, LLC

Practice address

12800 Mississippi Pkwy
Crown Point, IN 46307-6900

Phone

(219) 662-5560

NPI assigned

Nov 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel McCormick, MDNPI 1992720320

Title

President/Ceo

Phone

(219) 757-6104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Franciscan Lakeshore ASC LLCCCN 15C0001214

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Franciscan Health Michigan City

  dba Franciscan Outpatient Pharmacy Michigan City

  • Community/Retail Pharmacy
  • Michigan City, IN
  • NPI 1851774095

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel P McCormick, M.D.

  • Nephrology Physician
  • Olympia Fields, IL
  • NPI 1992720320
  NPD Authorized official
• Ryan J Plank, M.D.

  • Orthopaedic Surgery Physician
  • Crown Point, IN
  • NPI 1376555250
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1144866781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 MISSISSIPPI PKWY",
            "address_2": "PAVILION C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076900",
            "telephone_number": "219-757-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 MISSISSIPPI PKWY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076900",
            "telephone_number": "219-662-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN LAKESHORE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "219-757-6104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franciscan Health Crown Point (Franciscan Outpatient Pharmacy Crown Point)
• Franciscan Health Crown Point
• Franciscan Health Crown Point (Franciscan St. Anthony Health - Crown Point)
• Franciscan Health EMS (Franciscan EMS)
• Franciscan Home Care Services Inc
• Franklin Radiation LLC
• Angela Fratto
• Ida Frazier, RBT
• Katherine Ann Frazier, LCSW
• Frederick R Klepsch MD PC

• Ambulatory Surgical Clinic/Center in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.