Ludag LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

LUDAG LLC

Practice address

600 Grant St
Gary, IN 46402-6001

Phone

(219) 739-5598

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Robert T Woodburn III, MD

Title

President

Phone

(219) 739-5598

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ludag LLC

  • Radiation Oncology Physician
  • Merrillville, IN
  • NPI 1336195353

  O20050912000405

  Same enrollment

Tax ID family

Indiana Breast Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Indiana Breast Center

  • Diagnostic Radiology Physician
  • Crown Point, IN
  • NPI 1174787204
  NPD tax ID
• Ludag LLC

  • Radiation Oncology Physician
  • Merrillville, IN
  • NPI 1336195353
  NPD tax ID
• Ludag LLC Dba Cancer Treatment Group

  • Radiation Oncology Physician
  • La Porte, IN
  • NPI 1376635961
  NPD tax ID
• Ludag LLC Dba Cancer Treatment Group

  • Radiation Oncology Physician
  • Watseka, IL
  • NPI 1215119490
  NPD tax ID
• Ludag LLC, Dba Cancer Treatment Group

  • Radiation Oncology Physician
  • Bourbonnais, IL
  • NPI 1922287358
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Caroline Klepczyk, M.D.

  • Radiation Oncology Physician
  • Atlanta, GA
  • NPI 1194986455
  NPD
• Marina A Kuznetsova, M.D.

  • Radiation Oncology Physician
  • Bourbonnais, IL
  • NPI 1265545271
  NPD
• Vivian D Griffin, M.D.

  • Radiation Oncology Physician
  • Largo, FL
  • NPI 1801898614
  NPD (past)
• Ommar T Hla, MD

  • Radiation Oncology Physician
  • Morris, IL
  • NPI 1942225511
  NPD (past)
• Bambi R Weyers, MD

  • Radiation Oncology Physician
  • Waukesha, WI
  • NPI 1144346206
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1871685461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85327",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464026001",
            "telephone_number": "219-739-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDAG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "WOODBURN III",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-739-5598",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GROUP",
            "identifier": "DA3166",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique L Lockett
• Lytitia C London
• Lunette L Lott, LPN
• Lashanna Shanice Lovell, M.D.
• Kimberly Lucaitis, FNP
• Sarah Ludwigsen, PA-C
• Marian Lyke
• Lynn E Gassoway,DDS,Inc
• Marie Mack, CADC
• Zoe Mae Mackay Zacker

• Radiation Oncology Physician in Gary, IN
• Providers in Gary, IN by specialty
• Radiation Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.