LAKE HOSPITAL SYSTEM, INC. (NPI# 1265765317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765317 |
| Entity Type | Organization |
| Organization Name | LAKE HOSPITAL SYSTEM, INC. |
| Other Organization Name | LAKE HEALTH PHYSICIAN GROUP PAINESVILLE INTERNAL MEDICINE |
| Practice Address |
1223 Mentor Ave Painesville OH 44077-1833 |
| Mailing Address |
Po Box 714328 Columbus OH 43271-4328 |
| Practice Telephone | 4403521818 |
| Practice Fax Number | 4403521895 |
| Mailing Telephone | 4403521818 |
| Mailing Fax Number | 4403521895 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | RICHARD CICERO (SR. VP, BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 4403541739 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake Health Physician Group Painesville Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366721763 | Lake Hospital System, Inc. | Family Medicine | 26151 Euclid Ave, Suite 201, Euclid, OH 44132-3322 | 2011-08-16 |
| 1184910747 | Lake Hospital System, Inc. | General Acute Care Hospital | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2011-06-22 |
| 1477844686 | Lake Hospital System, Inc. | Surgery | 9500 Mentor Ave, Suite 300, Mentor, OH 44060-8713 | 2011-04-21 |
| 1669783593 | Lake Hospital System, Inc. | Family Medicine | 7956 Tyler Blvd, Mentor, OH 44060-4806 | 2010-06-25 |
| 1578884797 | Lake Hospital System, Inc. | Orthopaedic Surgery | 7580 Auburn Rd, Suite 214, Painesville, OH 44077-9615 | 2010-06-22 |
| 1174844724 | Lake Hospital System, Inc. | Surgery | 9500 Mentor Ave, Suite 200, Mentor, OH 44060-8713 | 2010-06-17 |
| 1710207329 | Lake Hospital System, Inc. | Obstetrics & Gynecology | 9485 Mentor Ave, Suite 202, Mentor, OH 44060-4597 | 2010-06-04 |
| 1669609756 | Lake Hospital System, Inc. | Surgery | 20050 Harvard Ave, Warrensville Heights, OH 44122-6816 | 2009-06-16 |
| 1124255278 | Lake Hospital System, Inc. | Surgery | 36001 Euclid Ave, B-3, Willoughby, OH 44094-4643 | 2009-06-16 |
| 1174762512 | Lake Hospital System, Inc. | Family Medicine | 2 Success Blvd., Perry, OH 44081 | 2009-02-09 |
| Street Address |
1223 MENTOR AVE |
| City | PAINESVILLE |
| State | OH |
| Zip Code | 44077-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695594 | Signature Health Inc. Pharmacy | Pharmacy | 54 South Saint Claire, Painesville, OH 44077 | 2020-10-06 |
| 1164053385 | Elaine Marie Nelson | Technician, Other | Cosmetic Laser Inc, 8353 Mentor Ave. Unit 7, Mentor, OH 44077 | 2020-01-27 |
| 1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1093208662 | Lindsey Elaine Varckette | Physical Therapy Assistant | 60 Wood Street, Painesville, OH 44077 | 2018-06-08 |
| 1083116578 | Brian Mills | Hearing Instrument Specialist | 1920 Mentor Ave, Painesville, OH 44077 | 2018-03-01 |
| 1033610324 | Julia Nicole Chase | Pharmacist | 180 W State Street, Painesville, OH 44077 | 2018-02-22 |
| 1104343631 | Donna Sheahan | Nurse Practitioner | 236 Ardmore Blvd, Painesville, OH 44077 | 2017-08-25 |
| 1417474198 | Jacqueline Owens | Registered Nurse | 7757 Auburn Rd, Ste 6 &7, Concord Twp., OH 44077 | 2017-08-24 |
| 1689197303 | Michelle Claire Pierce | Registered Nurse | 311 W. Walnut Ave., Painesville, OH 44077 | 2017-07-25 |
| Find all providers in zip 44077 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265653943 | Jeffrey Bullard | Internal Medicine | 10 E. Washington Street, Painesville, OH 44077 | 2007-05-01 |
| 1255443446 | Robert L Macdougall | Internal Medicine | 150 Mentor Ave, Suite 2, Painesville, OH 44077-3225 | 2006-08-31 |
| 1073947867 | Vein Clinics of Lake County LLC | Internal Medicine | 7580 Auburn Rd, Ste 214, Painesville, OH 44077-9615 | 2013-08-28 |
| 1427374990 | Scott C Forster | Internal Medicine | 7590 Auburn Rd, Painesville, OH 44077-9176 | 2010-04-08 |
| 1356353304 | Howard Allan Friedman | Internal Medicine | 7 W Jackson St, Painesville, OH 44077-3210 | 2006-08-11 |
| 1497766828 | Carolyn Hanisko Kuerbitz | Internal Medicine | 7 W Jackson St, Painesville, OH 44077-3210 | 2006-08-10 |
| 1457387011 | Community Hospitalist, LLC | Internal Medicine | 10 E Washington St, Painesville, OH 44077-3460 | 2006-06-24 |
| 1003815010 | Alexandar Lubomirov Todorinov | Internal Medicine | 10 E Washington St, Lake Hospital Systems East, Painesville, OH 44077-3460 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151660 | Health Monitoring Solutions | Internal Medicine | 15400 Pearl Rd Ste 230, Strongsville, OH 44136-6001 | 2020-10-12 |
| 1386250975 | Strong Healthcare Solutions LLC | Internal Medicine | 4105 Emmajean Rd, Toledo, OH 43607-1073 | 2020-09-18 |
| 1972115277 | Basel Bazerbachi | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Ave Na-23, Cleveland, OH 44195-0001 | 2020-08-18 |
| 1174131312 | Hyr Medical Inc | Internal Medicine | 675 Alpha Dr, Highland Heights, OH 44143-2139 | 2020-07-14 |
| 1447878806 | Sprholdings, LLC | Internal Medicine | 885 Damon Dr, Medina, OH 44256-2009 | 2020-07-10 |
| 1720609217 | Willglowe Health Services, Inc | Internal Medicine | 2201 E Maple St, North Canton, OH 44720-9997 | 2020-05-06 |
| 1316567209 | Maria Veronica De Torres Mirano-de Guzman | Internal Medicine | St. Elizabeth Youngstown Hospital, Department of Medic, 1044 Belmont Ave, Youngstown, OH 44501 | 2020-04-21 |
| 1386263614 | Gene Thomas Michael | Internal Medicine | 2401 N Columbus St Ste 260, Lancaster, OH 43130-8296 | 2020-04-16 |
| 1184244485 | Imthiaz Mohammed Khan | Internal Medicine | 2405 N Columbus St Ste 260, Lancaster, OH 43130-8100 | 2020-04-16 |
| 1710506670 | Shyam Patel | Internal Medicine | 381 Summit Ave, Steubenville, OH 43952 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | PAINESVILLE |
| Zip Code | 44077 |
Please comment or provide details below to improve the information on LAKE HOSPITAL SYSTEM, INC..
| 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.