Organization
LAKESHORE ANESTHESIA, P.C.
Active
Organization
LAKESHORE ANESTHESIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK CHEUK MD (PRESIDENT/CEO)
(219) 267-0094
Entity
Organization
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 942-0551
Mailing address
PO BOX 11581, FORT WAYNE, IN 46859-1581
(219) 267-0094
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196230
—
IN
Enumeration date
05/11/2006
Last updated
02/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up