Kelly A Siegel (NPI# 1427075415, PAC ID# 3072607746) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427075415 |
| PAC ID by PECOS | 3072607746 |
| Professional Enrollment ID | I20070926000279 |
| Full Name | Kelly A Siegel |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Address |
9485 Mentor Ave Suite 210 Mentor OH 44060-8723 |
| Phone Number | 4402055835 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002713922 |
| Number of Group Practice Members | 165 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 9485 Mentor Ave, Suite 210, Mentor, OH 44060-8723 | 4402055835 | LAKE HOSPITAL SYSTEM, INC. |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Golemgeski | Family Medicine | Lake Hospital System, Inc. | 29804 Lake Shore Blvd, Willowick, OH 44095-4611 |
| Christina J Scott | Nurse Practitioner | Lake Hospital System, Inc. | 36500 Euclid Ave, Willoughby, OH 44094-4455 |
| Kimberly Svec | Nurse Practitioner | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Willoughby, OH 44094-4203 |
| Kristin G Biddell | Nurse Practitioner | Lake Hospital System, Inc. | 7956 Tyler Blvd, Mentor, OH 44060-4806 |
| Bonnie L Broida | Physician Assistant | Lake Hospital System, Inc. | 7590 Auburn Rd, Concord, OH 44077-9176 |
| Amy Marie Livingston | Nurse Practitioner | Lake Hospital System, Inc. | 7685 Lake Shore Blvd, Mentor, OH 44060-3359 |
| Tina M Butt | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Joseph J Kessler Jr. | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Simee I Malik | Pediatric Medicine | Lake Hospital System, Inc. | 8881 Schaeffer St, Mentor, OH 44060-5035 |
| Sandeep V Kotak | Internal Medicine | Lake Hospital System, Inc. | 36100 Euclid Ave, Willoughby, OH 44094-4427 |
| Street Address |
9485 MENTOR AVE SUITE 210 |
| City | MENTOR |
| State | OH |
| Zip | 44060-8723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina L Berardinelli | Nurse Practitioner | Allied Dermatology and Skin Surgery, LLC | 9485 Mentor Ave, Suite 102, Mentor, OH 44060-8722 |
| Philip C Brzozowski | Obstetrics/gynecology | Lake Hospital System, Inc. | 9485 Mentor Ave, Mentor, OH 44060-8723 |
| Abigail M Tucker | Obstetrics/gynecology | Lake Hospital System, Inc. | 9485 Mentor Ave, Mentor, OH 44060-8723 |
| Vjekoslav Jeras | Diagnostic Radiology | Drs. Hill and Thomas Co. | 9485 Mentor Ave, Mentor, OH 44060-4597 |
| Carrie Happ-smith | Ophthalmology | Ophthalmic Physicians, Inc | 9485 Mentor Ave, Suite 110, Mentor, OH 44060-8724 |
| Varinder Singh Dhillon | Internal Medicine | Lake Hospital System, Inc. | 9485 Mentor Ave, Mentor, OH 44060-8723 |
| Maria T Espinosa | Hematology/oncology | Lake Health-university Hospitals Seidman Cancer Ctr Physicians Inc | 9485 Mentor Ave, Mentor, OH 44060-4597 |
| Bonnie Kitchen | Nurse Practitioner | Lake Hospital System, Inc. | 9485 Mentor Ave, Suite 210, Mentor, OH 44060-8723 |
| Bon Chul Koo | Diagnostic Radiology | Drs. Hill and Thomas Co. | 9485 Mentor Ave, Mentor, OH 44060-4597 |
| Paul Zellers | Internal Medicine | Lake Hospital System, Inc. | 9485 Mentor Ave, Mentor, OH 44060-8723 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don Martin | Psychologist, Clinical | 8472 Lake Shore Blvd, Mentor, OH 44060-1515 | |
| Vyacheslav Isakov | Family Medicine | 9150 Lake Shore Blvd, Mentor, OH 44060-1672 | |
| Gregory C Morris | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Kari T Craig | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| James Stephen Washek | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Katherine Long | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Tina M Butt | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Carli A Carnish | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Mihaela Donca | Internal Medicine | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Christine Vavro | Clinical Social Worker | Crossroads Lake County Adolescent Counseling Services | 8445 Munson Rd, Mentor, OH 44060-2410 |
| Find all physicians in zip 44060 | |||
| City | MENTOR |
| Zip Code | 44060 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MENTOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly A Siegel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.