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Lake Park Surgicare, LLC

Ambulatory Surgical Clinic/Center in Hobart, IN · enumerated 2005 · authorized official Rebecca Maksimovich, Clinical Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073500930

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Park Surgicare, LLC
Practice address 7921 Grand Blvd, Hobart, IN, 46342
Phone (219) 942-9600
Fax (219) 947-9922
Enumeration date Oct 5, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 261QA1903X (IN) Primary

Authorized official

Name Rebecca Maksimovich
Title Clinical Coordinator
Phone (219) 942-9600

Other identifiers

Identifier Type State Issuer
000000191299 Other IN BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lake Park Surgicare, LLC?
The NPI for Lake Park Surgicare, LLC is 1073500930, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Park Surgicare, LLC?
NPPES lists Rebecca Maksimovich (Clinical Coordinator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.