CITY OF LAKEWOOD - DIVISION OF HEALTH (NPI# 1104819457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104819457 |
| Entity Type | Organization |
| Organization Name | CITY OF LAKEWOOD - DIVISION OF HEALTH |
| Practice Address |
12805 Detroit Ave Lakewood OH 44107-2835 |
| Practice Telephone | 2165297690 |
| Practice Fax Number | 2165295910 |
| Mailing Telephone | 2165297690 |
| Mailing Fax Number | 2165295910 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VIRGINIA A EVANS (HEALTH COMMISSIONER) |
| Authorized Official Telephone | 2165297693 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
========= | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0874237 | 05 |
| Street Address |
12805 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225309081 | Jefferson County Public Health | Clinic/Center | 260 Kipling Street, Lakewood, CO 80226 | 2012-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679027973 | Local Public Health Services Collaborative LLC | Clinic/Center | 9880 Murray Ridge Rd, Elyria, OH 44035-6957 | 2016-08-04 |
| 1154461374 | City of Ashtabula Ohio | Clinic/Center | 4717 Main Ave, Ashtabula, OH 44004-6943 | 2007-02-07 |
| 1598826216 | County of Lake Court House | Clinic/Center | 5966 Heisley Rd, Mentor, OH 44060-1886 | 2006-12-13 |
| 1346338688 | County of Preble | Clinic/Center | 615 Hillcrest Dr, Eaton, OH 45320-8559 | 2006-10-11 |
| 1942397591 | Child Health Services of Portage County | Clinic/Center | 449 S Meridian St, Ravenna, OH 44266-2914 | 2006-10-06 |
| 1235194937 | County of Mahoning | Clinic/Center | 50 Westchester Dr, Youngstown, OH 44515-3991 | 2006-04-18 |
| 1841274008 | Lucas County Auditor | Clinic/Center | 330 Oak Terrace Blvd, Holland, OH 43528-8993 | 2005-12-01 |
| 1821070962 | County of Ashland Auditor | Clinic/Center | 1763 State Route 60, Ashland, OH 44805-8707 | 2005-11-15 |
| 1902898810 | Lucas County Auditor | Clinic/Center | 635 N Erie St, Billing Office, Rm. 272, Toledo, OH 43604-5317 | 2005-08-17 |
| 1538760749 | Adams County Auditor | Clinic/Center | 923 Sunrise Ave, West Union, OH 45693-1143 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.