LAKE POINT MEDICAL GROUP,LLC (NPI# 1235646191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235646191 |
| Entity Type | Organization |
| Organization Name | LAKE POINT MEDICAL GROUP,LLC |
| Practice Address |
15800 Detroit Ave Ste 2a Lakewood OH 44107-3748 |
| Mailing Address |
15800 Detroit Ave Lakewood OH 44107-3748 |
| Practice Telephone | 2162268700 |
| Practice Fax Number | 2162213171 |
| Mailing Telephone | 2162268700 |
| Mailing Fax Number | 2162213171 |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | MR. GEORGE M KHURI (MANAGING MEMBER) |
| Authorized Official Telephone | 2162268700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161527 | Lake Point Medical Group,llc | Internal Medicine | 1730 W 25th St Ste 2e, Cleveland, OH 44113-3108 | 2019-03-01 |
| 1326602376 | Lake Point Medical Group,llc | Internal Medicine | 805 Columbia Rd Ste 101, Westlake, OH 44145-1461 | 2019-04-25 |
| Street Address |
15800 DETROIT AVE STE 2A |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| 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 |
|---|---|---|---|---|
| 1346859014 | Scl Physicians - Rmpc LLC | Internal Medicine | 8585 W 14th Ave Ste B-2, Lakewood, CO 80215-4860 | 2020-07-28 |
| 1972165637 | Bellevue Medical Clinic LLC | Internal Medicine | 8725 S Tacoma Way, Lakewood, WA 98499-4544 | 2019-07-02 |
| 1578031910 | Promed Service Center Inc. | Internal Medicine | 4910 Castana Ave, Lakewood, CA 90712-3234 | 2018-11-04 |
| 1992271597 | Trinity Medical Care | Internal Medicine | 3650 South St Ste 110, Lakewood, CA 90712-1534 | 2018-10-22 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1073961710 | Susan S Rupp | Internal Medicine | 1840 S Manor Ln, Lakewood, CO 80232-7144 | 2016-06-02 |
| 1285001610 | Margaret Toth | Internal Medicine | 2217 Woodward Ave, Lakewood, OH 44107-5734 | 2015-09-02 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1871865287 | Sam W. Abdelmelek,md,inc. | Internal Medicine | 5750 Downey Ave Ste 201, Lakewood, CA 90712-1468 | 2012-01-31 |
| 1942517552 | Shirish B Patel Md Inc | Internal Medicine | 5720 Bellflower Blvd, Lakewood, CA 90713-1422 | 2010-09-02 |
| Find all providers in LAKEWOOD | ||||
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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.