OrganizationActive
Lake Pediatrics PC
NPI 1619114097 · Pediatrics Physician · Greenwood, IN
Lake Pediatrics PC is a Pediatrics Physician organization in Greenwood, IN (NPI 1619114097).
Provider details
- NPI number
- 1619114097
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marjorie Lake, Ceo/Owner(317) 893-2364
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
373 Meridian Parke Ln
Ste. E
Greenwood, IN 46142-9420
Phone: (317) 893-2364
Fax: (317) 851-8066
Street-level locationGet directions
Mailing address
373 Meridian Parke Ln
Greenwood, IN 46142-9420
Other names (DBA / former)
- Doing business as
- Old Schoolhouse Pediatrics
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2013-03-26
Frequently asked questions
- What is Lake Pediatrics PC's NPI number?
- Lake Pediatrics PC's National Provider Identifier (NPI) is 1619114097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Pediatrics PC?
- Lake Pediatrics PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Pediatrics PC located?
- Lake Pediatrics PC's practice location on file with NPPES is 373 Meridian Parke Ln, Greenwood, IN 46142-9420.
- What is Lake Pediatrics PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Pediatrics PC is (317) 893-2364.
- Who is the authorized official for Lake Pediatrics PC?
- The authorized official listed on Lake Pediatrics PC's NPPES record is Marjorie Lake, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Pediatrics PC's NPI active?
- Yes — Lake Pediatrics PC's NPI (1619114097) is active in the NPPES registry as of the last update on 2013-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.