LAKE HOSPITAL SYSTEM INC (NPI# 1972689172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972689172 |
Entity Type | Organization |
Organization Name | LAKE HOSPITAL SYSTEM INC |
Practice Address |
36000 Euclid Ave Willoughby OH 44094-4662 |
Practice Telephone | 4409539600 |
Practice Fax Number | 4409536081 |
Mailing Telephone | 4409539600 |
Mailing Fax Number | 4409536081 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MR. ROBERT TRACZ (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4403541051 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 273R00000X | Psychiatric Unit | Hospital Units | ||
N | 273Y00000X | Rehabilitation Unit | Hospital Units | ||
Y | 282N00000X | General Acute Care Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10024977600 | 05 | |
KY | 0140D446 | 05 | |
NY | D2490320 | 05 | |
NC | 3600098 | 05 | |
AZ | 803272 | 05 | |
CA | XHSP33687 | 05 | |
PA | 0011437050002 | 05 | |
OH | 4922507 | 05 | |
AL | LAK0098N | 05 | |
CA | XHSP43687 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518264043 | Lake Hospital System Inc | Clinic/Center | 2 Success Blvd, Perry, OH 44081-9404 | 2011-02-18 |
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 |
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 |
36000 EUCLID AVE |
City | WILLOUGHBY |
State | OH |
Zip Code | 44094-4662 |
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 | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
1184910747 | Lake Hospital System, Inc. | General Acute Care Hospital | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2011-06-22 |
1346202512 | Lake Hospital System | General Acute Care Hospital | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2006-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
1922547496 | Stephen Grater | General Acute Care Hospital | 970 E Washington St Ste 3a, Medina, OH 44256-2181 | 2017-02-17 |
1467997072 | Beverly Jean Cook I | General Acute Care Hospital | 610 Sanford Ave, Akron, OH 44305-2641 | 2017-01-05 |
1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
1124577705 | The Christ Hospital | General Acute Care Hospital | 502 Walnut Ln, Mason, OH 45040-2018 | 2016-09-24 |
1790233195 | Kettering Medical Center | General Acute Care Hospital | 524 Grants Trl, Centerville, OH 45459-3120 | 2016-09-14 |
1326497355 | John Wallin | General Acute Care Hospital | 15797 Madison Rd, Middlefield, OH 44062-8408 | 2016-06-09 |
1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
1033571351 | University of Pittsburgh Medical Center | General Acute Care Hospital | 15559 Pecan Oval, Middleburg Heights, OH 44130-3522 | 2016-03-25 |
1275992091 | Ashley Marie Howell | General Acute Care Hospital | 10643 Bob Short, Clarksville, OH 45113-9604 | 2016-02-22 |
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.