LAKE HOSPITAL SYSTEM INC (NPI# 1518264043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518264043 |
| Entity Type | Organization |
| Organization Name | LAKE HOSPITAL SYSTEM INC |
| Other Organization Name | PRIME HEALTH PERRY HEALTH AND WELLNESS |
| Practice Address |
2 Success Blvd Perry OH 44081-9404 |
| Mailing Address |
Po Box 714328 Columbus OH 43271-4328 |
| Practice Telephone | 4403758590 |
| Practice Fax Number | 4402592106 |
| Mailing Telephone | 4403541985 |
| Mailing Fax Number | 4403504938 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | MICHAEL KITTOE (CFO) |
| Authorized Official Telephone | 4403541085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2925964 | 05 |
| Other Name | Type Code |
|---|---|
| Prime Health Perry Health and Wellness | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164697629 | Lake Hospital System Inc | Internal Medicine | 2747 Som Center Rd, Willoughby, OH 44094-9164 | 2008-04-25 |
| 1952339996 | Lake Hospital System Inc | Surgery | 16030 E High St Ste 101, Middlefield, OH 44062-9474 | 2006-06-29 |
| 1366484818 | Lake Hospital System Inc | Family Medicine | 6990 Lindsay Dr, #3, Mentor, OH 44060-4981 | 2006-06-11 |
| 1538101985 | Lake Hospital System Inc | Family Medicine | 510 Fifth Avenue, Chardon, OH 44024 | 2006-06-11 |
| 1912375601 | Lake Hospital System Inc | Pharmacy | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2015-09-11 |
| 1922390012 | Lake Hospital System Inc | Clinic/Center | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2011-05-06 |
| 1851698435 | Lake Hospital System Inc | Nurse Practitioner | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2011-02-17 |
| 1972689172 | Lake Hospital System Inc | Psychiatric Unit | 36000 Euclid Ave, Willoughby, OH 44094-4662 | 2006-10-31 |
| 1013951920 | Lake Hospital System Inc | Pediatrics | 9485 Mentor Ave, 101, Mentor, OH 44060 | 2006-06-15 |
| 1699719518 | Lake Hospital System Inc | Obstetrics & Gynecology | 35040 Chardon Rd, Bldg Vii #205, Willoughby Hills, OH 44094 | 2006-06-15 |
| Street Address |
2 SUCCESS BLVD |
| City | PERRY |
| State | OH |
| Zip Code | 44081-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801978192 | Family Chiropractic, Inc | Chiropractor | 3759 G Center Rd, Perry, OH 44081 | 2006-10-19 |
| 1356365415 | John Patrick Filutze | Dentist | 3933 Lane Road, Perry, OH 44081 | 2006-07-26 |
| 1992769327 | Youapa S. Yang | Family Medicine | 2 Success Blvd., Perry, OH 44081 | 2006-04-13 |
| 1174762512 | Lake Hospital System, Inc. | Family Medicine | 2 Success Blvd., Perry, OH 44081 | 2009-02-09 |
| 1245472406 | Mary Cecelia Andrei | Licensed Practical Nurse | 3722 Portsmouth Cv, Perry, OH 44081-8636 | 2009-04-01 |
| 1487079463 | Robert Mcendree | Occupational Therapy Assistant | 4640 White Angel Dr, Perry, OH 44081-9201 | 2014-02-27 |
| 1265690739 | Jennifer Lynn Torrieri | Registered Nurse | 3334 Jens Way, Perry, OH 44081-9217 | 2008-05-30 |
| 1710320338 | Christina Marie Hutson | Licensed Practical Nurse | 3380 Narrows Rd, Perry, OH 44081-9307 | 2013-04-12 |
| 1659344166 | Brad E Morgan | Specialist/Technologist | 1 Success Blvd, Perry, OH 44081-9404 | 2006-02-08 |
| 1790054880 | Perry Local Schools | Local Education Agency (LEA) | 4325 Manchester Rd, Perry, OH 44081-9413 | 2011-12-20 |
| Find all providers in zip 44081 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| 1336566561 | Andrew Wang | Family Medicine | 1019 Keith Dr Ste A, Perry, GA 31069-4952 | 2014-03-26 |
| 1598977787 | Memorial Hospital | Family Medicine | 3337 W Britton Rd, Perry, MI 48872 | 2007-05-03 |
| 1457485690 | Jody S Velie | Family Medicine | 1025 Keith Dr, Perry, GA 31069-2948 | 2007-03-16 |
| 1255405866 | James Gilbert Morgan | Family Medicine | 3809 W Lansing Rd, Perry, MI 48872 | 2006-11-17 |
| 1972688158 | Physician's Medical Clinic | Family Medicine | 1412 Fir St, Perry, OK 73077-5036 | 2006-10-26 |
| 1063520260 | Perry Family Practice | Family Medicine | 505 14th St, Perry, OK 73077 | 2006-08-28 |
| 1952312365 | Perry Family Medical Associates, PC | Family Medicine | 938 Carroll St, Perry, GA 31069-3314 | 2006-08-10 |
| 1255340246 | Ssm Audrain Health Care, Inc. | Family Medicine | 1223 Main Street, Perry, MO 63462 | 2006-08-07 |
| 1922043215 | Donna M Schippers | Family Medicine | 616 S Jefferson St, Perry, FL 32347-4115 | 2006-06-19 |
| Find all providers in PERRY | ||||
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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.