EMERGENCY MEDICINE PHYSICIANS OF LAKE COUNTY LTD (NPI# 1154763944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154763944 |
| Entity Type | Organization |
| Organization Name | EMERGENCY MEDICINE PHYSICIANS OF LAKE COUNTY LTD |
| Practice Address |
36000 Euclid Ave Willoughby OH 44094-4625 |
| Mailing Address |
4535 Dressler Rd Nw Canton OH 44718-2545 |
| Practice Telephone | 3304934443 |
| Practice Fax Number | 3304938677 |
| Mailing Telephone | 3304934443 |
| Mailing Fax Number | 3304514142 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |
| Authorized Official Name | DAVID CHARLES PACKO (PRESIDENT) |
| Authorized Official Telephone | 3304934443 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
36000 EUCLID AVE |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340061 | Gary Salovon | Anesthesiology | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2005-07-15 |
| 1568070548 | Nicole Lepore | Social Worker | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2020-07-16 |
| 1881202026 | Marwa Azem | Pharmacist | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2020-07-14 |
| 1053941195 | Dornice Ivanna Friday | Social Worker | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2020-01-16 |
| 1477013373 | Karolin Seifried Ash | Social Worker | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2019-03-25 |
| 1861959546 | Marlarie C Hardee | Nurse Anesthetist, Certified Registered | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2019-02-28 |
| 1578020905 | Orsolya Eads | Nurse Practitioner | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2019-02-21 |
| 1922586379 | Jonathon Eleeot Henry | Social Worker | 36000 Euclid Ave, Willoughby, OH 44094 | 2018-07-29 |
| 1023595139 | Katherine Elvira Mccormick | Social Worker | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2018-07-20 |
| 1922598291 | James V Czernicki | Anesthesiologist Assistant | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2018-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851352827 | Kenneth A Weiner | Emergency Medicine | 36000 Euclid Avenue, Willoughby, OH 44094 | 2006-03-30 |
| 1578940854 | Sofia Teresa Zindel Melgarejo | Emergency Medicine | 36000 Euclid Ave, Willoughby, OH 44094 | 2015-05-06 |
| 1720241326 | Stephanie Ann Schnetz | Emergency Medicine | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2008-07-03 |
| 1144395922 | Jeffrey Brian Adler | Emergency Medicine | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2006-11-21 |
| 1952475576 | Anne Mcdonald Carrol | Emergency Medicine | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2006-11-17 |
| 1902975147 | Nitaya Yadmark | Emergency Medicine | 5105 Som Center Road, Willoughby, OH 44094-4203 | 2006-11-06 |
| 1720042492 | Donald Luther Brizendine | Emergency Medicine | 36000 Euclid Ave, Lake West Hospital, Willoughby, OH 44094 | 2006-04-12 |
| 1407817380 | Marc Allen | Emergency Medicine | 36000 Euclid Ave, Willoughby, OH 44094 | 2006-03-30 |
| 1669433512 | Sambhav Shah | Emergency Medicine | 36000 Euclid Ave, Willoughby, OH 44094 | 2006-03-30 |
| 1720049661 | Barbara Jordan | Emergency Medicine | 36000 Euclid Ave, Willoughby, OH 44094 | 2006-03-30 |
| Find all providers in WILLOUGHBY | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on EMERGENCY MEDICINE PHYSICIANS OF LAKE COUNTY LTD.
| 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.