LAKEWOOD HOSPITAL ASSOCIATION (NPI# 1437192507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437192507 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HOSPITAL ASSOCIATION |
| Other Organization Name | LAKEWOOD HOSPITAL |
| Practice Address |
14519 Detroit Ave Lakewood OH 44107-4316 |
| Mailing Address |
6801 Brecksville Rd Suite 20 Rk10 Independence OH 44131-5032 |
| Practice Telephone | 2165214200 |
| Mailing Telephone | 2166368051 |
| Mailing Fax Number | 2166368088 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN GLASS (CFO) |
| Authorized Official Telephone | 2164449361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 1134 | OH | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 521890 | 01 | |
| KAISER | 100748 | 01 | |
| OH | 4923882 | 05 | |
| UNITED HEALTHCARE | 5000096 | 01 |
| Other Name | Type Code |
|---|---|
| Lakewood Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386089670 | Lakewood Hospital Association | Pharmacy | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2013-05-01 |
| 1205933512 | Lakewood Hospital Association | Emergency Medicine | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-09-20 |
| 1972541837 | Lakewood Hospital Association | Rehabilitation Unit | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-06-03 |
| 1497793251 | Lakewood Hospital Association | Skilled Nursing Facility | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-06-03 |
| 1447203989 | Lakewood Hospital Association | General Acute Care Hospital | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-05-18 |
| Street Address |
14519 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895493 | Umarani Ramachandran | Pediatrics | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2005-10-18 |
| 1831584804 | Michelle Palcsik | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-04-06 |
| 1114318029 | Jessica Schreiner | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-02-13 |
| 1932516424 | Beth Tibbitts | Social Worker | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-07-16 |
| 1811309461 | Jessica Bennett | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-29 |
| 1104238237 | Michelle Kellicker | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-23 |
| 1386056687 | Andrew Morgan Cluts | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-21 |
| 1558772103 | Tamara Hunt | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-16 |
| 1114338001 | Kristen Louise Gallo | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-13 |
| 1902216773 | Timothy Hirzel | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-02 |
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| 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 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609210509 | Csm Counseling LLC | Psychiatric Unit | 9255 W Alameda Ave, Unit E, Lakewood, CO 80226-2802 | 2013-04-22 |
| 1871724690 | Saint Clare Hospital | Psychiatric Unit | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2009-07-28 |
| 1902831621 | Lakewood Regional Medical Center, Inc. | Psychiatric Unit | 3700 South St, Lakewood, CA 90712-1419 | 2006-07-11 |
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| 1851547392 | Ipg Rs LLC | Psychiatric Unit | 17872 Lincoln Hwy, Middle Point, OH 45863-9700 | 2008-08-15 |
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1073568994 | Windsor Hospital | Psychiatric Unit | 115 E Summit St, Chagrin Falls, OH 44022-2711 | 2006-05-23 |
| 1457314502 | Medical University of Ohio At Toledo | Psychiatric Unit | 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 | 2006-04-10 |
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
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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.