LAKE HOSPITAL SYSTEM (NPI# 1255394136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255394136 |
| Entity Type | Organization |
| Organization Name | LAKE HOSPITAL SYSTEM |
| Practice Address |
36000 Euclid Ave Willoughby OH 44094-4625 |
| Mailing Address |
Po Box 714031 Columbus OH 43271-4031 |
| Practice Telephone | 4409536082 |
| Mailing Telephone | 4407161283 |
| Mailing Fax Number | 4407161605 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT TRACZ (CFO) |
| Authorized Official Telephone | 4403541990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942580394 | Lake Hospital System | Family Medicine | 8316 Yellowbrick Rd, Mentor, OH 44060-4960 | 2011-08-17 |
| 1710295829 | Lake Hospital System | Internal Medicine | 36100 Euclid Ave, Suite 400, Willoughby, OH 44094-4456 | 2010-09-23 |
| 1326141987 | Lake Hospital System | Internal Medicine | 29804 Lakeshore Blvd, Willowick, OH 44095 | 2006-09-07 |
| 1346202512 | Lake Hospital System | General Acute Care Hospital | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2006-04-04 |
| 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 | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093217523 | Bridget Ann Trent | Dietitian, Registered | 35900 Euclid Ave, Willoughby, OH 44094-4623 | 2018-02-28 |
| 1891759353 | Jill H Richards | Dietitian, Registered | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2006-04-13 |
| 1881657765 | Maryellen L Eickman-fiala | Dietitian, Registered | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2006-04-11 |
| 1235192121 | Jennifer L Grebenc | Dietitian, Registered | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204053 | Alexandria Marie Marshall | Dietitian, Registered | 7149 Walton Rd, Walton Hills, OH 44146-4358 | 2020-10-28 |
| 1750988093 | Marisa Seitz | Dietitian, Registered | 927 White Horse Trl, Hinckley, OH 44233-9326 | 2020-10-08 |
| 1760089411 | Staci Cortelezzi | Dietitian, Registered | 2322 E 22nd St Ste 207, Cleveland, OH 44115-3100 | 2020-10-06 |
| 1033716931 | Danielle Smenda | Dietitian, Registered | 13981 Oakbrook Dr Apt 311, North Royalton, OH 44133-4650 | 2020-10-04 |
| 1093312167 | Jessica Brand | Dietitian, Registered | 7188 Tumblebrook Dr, New Albany, OH 43054-8891 | 2020-10-02 |
| 1124625363 | Morgan Alyssa Yoder | Dietitian, Registered | 6906 County Road 624, Millersburg, OH 44654-8393 | 2020-10-01 |
| 1801403118 | Alec Moore | Dietitian, Registered | 2813 Robertson Ave, Cincinnati, OH 45209-1213 | 2020-09-30 |
| 1841807518 | Sydney Elizabeth Anderson | Dietitian, Registered | 1018 Glen Dr Ne, New Philadelphia, OH 44663-2784 | 2020-09-28 |
| 1669089264 | Danielle Musgrave | Dietitian, Registered | 654 Meadowood Dr, Mayfield, OH 44143-2306 | 2020-09-28 |
| 1841807575 | Bridget A Brown | Dietitian, Registered | 1256 Edsal Dr, Lyndhurst, OH 44124-2363 | 2020-09-27 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.