Organization Active NPI

Lake Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • Osage Beach, MO
National Provider Identifier
1174659262
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R7F70 Issued in MO
Legal business name
LAKE ORTHOPEDIC GROUP, INC.
Practice address
1057 Medical Park Dr
Suite C
Osage Beach, MO 65065
Phone
(573) 348-4432
Fax
(573) 348-9410
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Thomas G Hoeft, D.O.
Title
President
Phone
(573) 348-4432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X R7F70 MO Primary

Addresses

Primary practice location

1057 Medical Park Dr
Suite C
Osage Beach, MO 65065

Mailing address

1057 Medical Park Dr
Suite C
Osage Beach, MO 65065
Phone (573) 348-4432

National Provider Directory

National Provider Directory

Locations

1057 Medical Park Dr
#C
Osage Beach, MO 65065
Phone (314) 348-4432

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1174659262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "65065",
            "telephone_number": "573-348-4432",
            "fax_number": "573-348-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "65065",
            "telephone_number": "573-348-4432",
            "fax_number": "573-348-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ORTHOPEDIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "HOEFT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-348-4432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R7F70",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.