Active NPI
Charles Lamb, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- South Bend, IN
National Provider Identifier
1982779153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01038463
- Practice address
- 707 No Michigan Street
Suite 501
South Bend, IN 46601 - Phone
- (574) 237-0644
- Fax
- (574) 234-6986
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01038463 | IN | Primary |
Addresses
Primary practice location
707 No Michigan Street
Suite 501
South Bend, IN 46601
Mailing address
707 No Michigan Street
Suite 501
South Bend, IN 46601
Phone (574) 237-0644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100367540A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038463 | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1982779153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 NO MICHIGAN STREET",
"address_2": "SUITE 501",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46601",
"telephone_number": "574-237-0644",
"fax_number": "574-234-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 NO MICHIGAN STREET",
"address_2": "SUITE 501",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46601",
"telephone_number": "574-237-0644",
"fax_number": "574-234-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01038463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100367540A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.