Patricia Kelly (NPI# 1639362916, PAC ID# 7113013947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639362916 |
| PAC ID by PECOS | 7113013947 |
| Professional Enrollment ID | I20071010000010 |
| Full Name | Patricia Kelly |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Address |
7580 Auburn Rd Concord Township OH 44077-9617 |
| Gender | F |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1992 |
| 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 |
|---|---|---|
| 7580 Auburn Rd, Concord Township, OH 44077-9617 | LAKE HOSPITAL SYSTEM, INC. | |
| 36500 Euclid Ave, Willoughby, OH 44094-4455 | 4405160530 | LAKE HOSPITAL SYSTEM, INC. |
| 29804 Lake Shore Blvd, Willowick, OH 44095-4611 | 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 |
7580 AUBURN RD |
| City | CONCORD TOWNSHIP |
| State | OH |
| Zip | 44077-9617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Modarelli | Family Medicine | Lake Hospital System, Inc. | 7580 Auburn Rd, Concord Township, OH 44077-9617 |
| Michael D Gaugler | Otolaryngology | Eastside Ent Specialists Inc | 7580 Auburn Rd, Suite 103, Concord Twp, OH 44077-9616 |
| Amy Melissa Polster | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Lauren C Karpinski | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Valerie A Dailey | Physician Assistant | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Shannon N Mckeen | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Cynthia L Henry | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Lori A Falzone | Qualified Audiologist | Eastside Ent Specialists Inc | 7580 Auburn Rd, Suite 103, Concord Twp, OH 44077-9616 |
| Jane R Webb | Qualified Audiologist | Eastside Ent Specialists Inc | 7580 Auburn Rd, Suite 103, Concord Twp, OH 44077-9616 |
| Brian W Moore | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger J Mize | Clinical Social Worker | Western Reserve Counseling Service, Inc.. | Victoria Place On The Park, Painesville, OH 44077 |
| Marcus Estafanous | Ophthalmology | Vitreo Retinal Consultants Inc | 2163 Mentor Ave, Painesville, OH 44077-1323 |
| Seema J Ice | Ophthalmology | Ice Ophthalmology LLC | 2141 Mentor Ave, Painesville, OH 44077-1323 |
| Carl K Shin | Ophthalmology | Ice Ophthalmology LLC | 2141 Mentor Ave, Painesville, OH 44077-1323 |
| Stephen R Kaufman | Ophthalmology | Vitreo Retinal Consultants Inc | 2163 Mentor Ave, Painesville, OH 44077-1323 |
| Maryann Bencin | Qualified Audiologist | 1701 Mentor Ave, Suite 5, Painesville Twp., OH 44077-1459 | |
| Paul Canning Hanahan | General Practice | 50 Normandy Dr, Suite 5, Painesville, OH 44077-1600 | |
| John Harsha Paul | Orthopedic Surgery | 50 Normandy Dr, Suite 2, Painesville, OH 44077-1600 | |
| Scott J Gill | Chiropractic | 1545 Mentor Ave, Painesville, OH 44077-1706 | |
| Brian J Morris | Chiropractic | 1640 Mentor Ave, Painesville, OH 44077-1707 | |
| Find all physicians in zip 44077 | |||
| City | CONCORD TOWNSHIP |
| Zip Code | 44077 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONCORD TOWNSHIP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Patricia Kelly.
| 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.