LAKE HOSPITAL SYSTEM, INC (NPI# 1356675003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356675003 |
| Entity Type | Organization |
| Organization Name | LAKE HOSPITAL SYSTEM, INC |
| Other Organization Name | LAKE HEALTH |
| Practice Address |
7590 Auburn Rd Concord Twp OH 44077-9176 |
| Mailing Address |
36000 Euclid Ave Willoughby OH 44094-4625 |
| Practice Telephone | 4409539600 |
| Mailing Telephone | 4409539600 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | MR. ROBERT TRACZ (CFO) |
| Authorized Official Telephone | 4409539600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Lake Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699000281 | Lake Hospital System, Inc | Clinic/Center | 74 S Park Place, Painesville, OH 44077 | 2009-10-15 |
| 1134189376 | Lake Hospital System, Inc | Internal Medicine | 6270 N Ridge Rd, Madison, OH 44057-2567 | 2006-03-23 |
| 1205896404 | Lake Hospital System, Inc | Clinic/Center | 7956 Tyler Blvd, Mentor, OH 44060-4806 | 2006-03-23 |
| 1225264146 | Lake Hospital System, Inc | Psychiatric Unit | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2009-06-05 |
| 1689634966 | Lake Hospital System, Inc | Internal Medicine | 510 5th Ave, Chardon, OH 44024-1077 | 2006-03-23 |
| Street Address |
7590 AUBURN RD |
| City | CONCORD TWP |
| State | OH |
| Zip Code | 44077-9176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343695 | Jordan Oddis | Surgery | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2020-10-09 |
| 1881237378 | Brianne Skaros | Nurse Practitioner | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2019-10-28 |
| 1295208007 | Stephen Tanoma Zahoransky | Physician Assistant | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2019-01-03 |
| 1881164986 | Karen Ann Alston | Nurse Practitioner | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2018-11-30 |
| 1578075321 | Judy Mindzora | Nurse Practitioner | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2017-11-02 |
| 1114373487 | Pamela Brunner | Social Worker | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2016-05-05 |
| 1487040879 | Julie Pokersnik | Emergency Medicine | 7590 Auburn Rd, Concord Twp, OH 44077 | 2015-04-13 |
| 1508256975 | Susan Perdue Schultz | Nurse Practitioner | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2015-01-23 |
| 1548665466 | Caleb Schwieterman | Physician Assistant | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2014-11-04 |
| 1598164873 | Samantha Froimson | Dietitian, Registered | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2014-08-22 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104100601 | Lake Health Medical Center | General Acute Care Hospital | 7580 Auburn Rd, Suite 207, Concord Twp, OH 44077-9615 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1922547496 | Stephen Grater | General Acute Care Hospital | 970 E Washington St Ste 3a, Medina, OH 44256-2181 | 2017-02-17 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| 1467997072 | Beverly Jean Cook I | General Acute Care Hospital | 610 Sanford Ave, Akron, OH 44305-2641 | 2017-01-05 |
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1124577705 | The Christ Hospital | General Acute Care Hospital | 502 Walnut Ln, Mason, OH 45040-2018 | 2016-09-24 |
| 1790233195 | Kettering Medical Center | General Acute Care Hospital | 524 Grants Trl, Centerville, OH 45459-3120 | 2016-09-14 |
| 1326497355 | John Wallin | General Acute Care Hospital | 15797 Madison Rd, Middlefield, OH 44062-8408 | 2016-06-09 |
| 1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
| 1033571351 | University of Pittsburgh Medical Center | General Acute Care Hospital | 15559 Pecan Oval, Middleburg Heights, OH 44130-3522 | 2016-03-25 |
| Find all providers with the same taxonomy | ||||
| City | CONCORD TWP |
| Zip Code | 44077 |
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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.