LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CTR PHYSICIANS INC (NPI# 1356394357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356394357 |
| Entity Type | Organization |
| Organization Name | LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CTR PHYSICIANS INC |
| Practice Address |
9485 Mentor Ave Ste 3 Mentor OH 44060-8711 |
| Practice Telephone | 4402055775 |
| Practice Fax Number | 4402055733 |
| Mailing Telephone | 4402055755 |
| Mailing Fax Number | 4402055743 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | JULIE MORAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4402055759 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2560590 | 05 | |
| PK | 2144250 | 01 |
| Street Address |
9485 MENTOR AVE STE 3 |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-8711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629484225 | Lake Health-university Hospitals Seidman Cancer Center | Pharmacy | 9485 Mentor Ave Ste 3, Mentor, OH 44060-8711 | 2014-07-03 |
| 1699113373 | Debbie Dubeansky | Nurse Practitioner | 9485 Mentor Ave Ste 3, Mentor, OH 44060-8711 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639490469 | Daniel Ryan Silbiger | Internal Medicine | 9485 Mentor Ave, Suite 3, Mentor, OH 44060-4597 | 2010-06-16 |
| 1437174935 | Lois J Teston | Internal Medicine | 9485 Mentor Ave, Mentor, OH 44060-4597 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315076 | Clermont County Cancer Center LLC | Internal Medicine | 4402 Hartman Ln, Batavia, OH 45103-1971 | 2014-12-08 |
| 1215353834 | Ahmed M Ghany | Internal Medicine | 100 W 3rd Ave Ste 150, Columbus, OH 43201-3260 | 2014-03-06 |
| 1972935716 | Stanley P Balcerzak | Internal Medicine | 3113 N 3 Bs and K Rd, Sunbury, OH 43074-9674 | 2013-08-03 |
| 1184056996 | Mohammad Ansari-dezfuli | Internal Medicine | 1700 Carriage Place, Gates Mills, OH 44040 | 2013-08-02 |
| 1043569486 | Virginia Ann Rhodes | Internal Medicine | 1557 Landsdale Cir, Twinsburg, OH 44087-3337 | 2012-08-30 |
| 1629324009 | Earl Nelson Metz | Internal Medicine | 226 E. Dublin Granville Rd., Worthington, OH 43085-3185 | 2012-08-03 |
| 1366715260 | John Kiess Kurtz | Internal Medicine | 3676 Kehrer Rd, Bucyrus, OH 44820-8624 | 2012-02-23 |
| 1922398049 | Vamsi Koduri | Internal Medicine | 4435 State Route 159, Chillicothe, OH 45601 | 2011-04-11 |
| 1528392297 | William H Sigalove | Internal Medicine | 130 Meadow Dr, Elyria, OH 44035-1838 | 2009-09-28 |
| 1922236017 | Amir Iqbal | Internal Medicine | 885 S Sawburg Ave, Suite 110, Alliance, OH 44601-5926 | 2009-06-26 |
| Find all providers with the same taxonomy | ||||
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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.