Lakeshore EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LAKESHORE EMS

Doing business as

Lakeshore EMS

Practice address

3480 E 83Rd PL
Merrillville, IN 46410-6547

Phone

(219) 663-2896

Fax

(219) 794-1077

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mark R Montoya

Title

Owner

Phone

(219) 945-3607

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Lakeshore EMS Doing business as

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1154606101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 E 83RD PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106547",
            "telephone_number": "219-663-2896",
            "fax_number": "219-794-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 E 83RD PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106547",
            "telephone_number": "219-663-2896",
            "fax_number": "219-794-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-945-3607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201135230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann M Lafrance, PSY.D., HSPP
• Rachael Lagunas
• Lake County Hospitalists, LLC
• Lake County Pediatrics LLC
• Lake Urology, LLC
• Olyvia Brooke Lakins, BCBA
• Nicholas Nicholas Lalios, DPM
• Jennifer Lameka
• Judith Kay Lammons
• Kayla Lamore, LMHC-A, CRC

• Ambulance in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.