LAKE CARDIOLOGY INC (NPI# 1528006616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528006616 |
| Entity Type | Organization |
| Organization Name | LAKE CARDIOLOGY INC |
| Practice Address |
124 Liberty St Painesville OH 44077-3303 |
| Practice Telephone | 4403524956 |
| Practice Fax Number | 4403520397 |
| Mailing Telephone | 4403524956 |
| Mailing Fax Number | 4403520397 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | DR. AHMAD BANNA (PRESIDENT) |
| Authorized Official Telephone | 4403524956 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
124 LIBERTY ST |
| City | PAINESVILLE |
| State | OH |
| Zip Code | 44077-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639156805 | Ahmad Banna | Internal Medicine | 124 Liberty St, Painesville, OH 44077 | 2005-12-28 |
| 1922419142 | Lake Heart Center LLC | Internal Medicine | 124 Liberty St, Painesville, OH 44077-3362 | 2014-05-09 |
| 1144469388 | Ahmad Banna, M.d., LLC | Clinic/Center | 124 Liberty St, Painesville, OH 44077-3303 | 2009-02-11 |
| 1447299961 | Boushra Ward | Pediatrics | 124 Liberty St, Ste A, Painesville, OH 44077 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695594 | Signature Health Inc. Pharmacy | Pharmacy | 54 South Saint Claire, Painesville, OH 44077 | 2020-10-06 |
| 1164053385 | Elaine Marie Nelson | Technician, Other | Cosmetic Laser Inc, 8353 Mentor Ave. Unit 7, Mentor, OH 44077 | 2020-01-27 |
| 1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1093208662 | Lindsey Elaine Varckette | Physical Therapy Assistant | 60 Wood Street, Painesville, OH 44077 | 2018-06-08 |
| 1083116578 | Brian Mills | Hearing Instrument Specialist | 1920 Mentor Ave, Painesville, OH 44077 | 2018-03-01 |
| 1033610324 | Julia Nicole Chase | Pharmacist | 180 W State Street, Painesville, OH 44077 | 2018-02-22 |
| 1104343631 | Donna Sheahan | Nurse Practitioner | 236 Ardmore Blvd, Painesville, OH 44077 | 2017-08-25 |
| 1417474198 | Jacqueline Owens | Registered Nurse | 7757 Auburn Rd, Ste 6 &7, Concord Twp., OH 44077 | 2017-08-24 |
| 1689197303 | Michelle Claire Pierce | Registered Nurse | 311 W. Walnut Ave., Painesville, OH 44077 | 2017-07-25 |
| Find all providers in zip 44077 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326286881 | Shirley M Johnson | Specialist | 1689 Poplar Ln, Painesville, OH 44077-6127 | 2009-01-21 |
| 1215907845 | Eastside Ent Specialists, Inc | Specialist | 7580 Auburn Road, #103, Painesville, OH 44077 | 2006-01-25 |
| 1124025804 | Raj P Vallabhaneni | Specialist | 124 Liberty Street, Painesville, OH 44077 | 2005-07-07 |
| 1538571328 | Smith Vein Institute, LLC | Specialist | 7515 Fredle Dr, Painesville, OH 44077-9406 | 2014-05-28 |
| 1902075054 | Samuel C Kerns | Specialist | 7580 Auburn Road, #103, Painesville, OH 44077 | 2008-02-22 |
| 1659465466 | John H Paul M D Inc | Specialist | 50 Normandy Dr, Ste 2, Painesville, OH 44077-1600 | 2006-10-03 |
| 1801823182 | Anesthesia Associates, Pll | Specialist | 7757 Auburn Rd, Suite 15, Painesville, OH 44077-9609 | 2006-06-26 |
| 1366412827 | E. Luke Bold | Specialist | 7580 Auburn Road, #103, Painesville, OH 44077 | 2006-01-25 |
| 1629048194 | Kenneth J Vito | Specialist | 7580 Auburn Road, #103, Painesville, OH 44077 | 2006-01-25 |
| 1033189527 | Michael D Gaugler | Specialist | 7580 Auburn Road, #103, Painesville, OH 44077 | 2006-01-25 |
| Find all providers in PAINESVILLE | ||||
| City | PAINESVILLE |
| Zip Code | 44077 |
Please comment or provide details below to improve the information on LAKE CARDIOLOGY INC.
| 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.