Active NPI
Warsaw Health System, LLC
Doing business as Northern Lakes Orthopaedics & Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Warsaw, IN
National Provider Identifier
1255436648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WARSAW HEALTH SYSTEM, LLC
- Doing business as
- Northern Lakes Orthopaedics & Sports Medicine
- Practice address
- 3505 Lake City Hwy
Warsaw, IN 46580-3942 - Phone
- (574) 372-5823
- NPI assigned
- Sep 13, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Hurley
- Title
- Senior Vice President
- Phone
- (214) 473-3993
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3505 Lake City Hwy
Warsaw, IN 46580-3942
Mailing address
PO Box 996
Warsaw, IN 46581-0996
Phone (574) 372-5823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | IN |
Other names 1
- Northern Lakes Orthopaedics & Sports Medicine
National Provider Directory
National Provider DirectoryLocations
3505 Lake City Hwy
Warsaw, IN 46580
Phone (260) 479-3513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1255436648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 996",
"city": "WARSAW",
"state": "IN",
"postal_code": "465810996",
"telephone_number": "574-372-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 LAKE CITY HWY",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803942",
"telephone_number": "574-372-5823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARSAW HEALTH SYSTEM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HURLEY",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "214-473-3993"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northern Lakes Orthopaedics & Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warsaw, IN
- Warsaw Health System LLC (Lutheran Kosciusko Hospital)
- Warsaw Health System LLC (Provident Family Healthcare)
- Warsaw Health System LLC (Warsaw Family Medicine)
- Warsaw Health System LLC (Kosciusko Community Hospital)
- Warsaw Health System LLC (Pediatric Healthcare)
- Warsaw Health System, LLC (Warsaw Surgical Specialties)
- Warsaw Health System, LLC (Northern Lakes Internal Medicince)
- Warsaw Health System, LLC (Kosciusko Community Hospital)
- Warsaw Health Systems, LLC (Center of Hope)
- Warsaw Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.