LAKE POINT MEDICAL GROUP,LLC (NPI# 1982161527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982161527 |
| Entity Type | Organization |
| Organization Name | LAKE POINT MEDICAL GROUP,LLC |
| Practice Address |
1730 W 25th St Ste 2e Cleveland OH 44113-3108 |
| Mailing Address |
1730 W 25th St Cleveland OH 44113-3108 |
| Practice Telephone | 2162272194 |
| Mailing Telephone | 2163632353 |
| Mailing Fax Number | 2166967375 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | DR. GEORGE KHURI (OWNER) |
| Authorized Official Telephone | 2163162386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1730 W 25th St Ste 2e, Cleveland, OH 441133108 | 2162272194 | |
| 805 Columbia Rd Ste 101, Westlake, OH 441451461 | 2162272194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646191 | Lake Point Medical Group,llc | Internal Medicine | 15800 Detroit Ave Ste 2a, Lakewood, OH 44107-3748 | 2018-01-01 |
| 1326602376 | Lake Point Medical Group,llc | Internal Medicine | 805 Columbia Rd Ste 101, Westlake, OH 44145-1461 | 2019-04-25 |
| Street Address |
1730 W 25TH ST STE 2E |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896500 | Lisa Fuchs | Podiatrist | 10701 East Blvd. W112, Cleveland, OH 44106 | 2016-04-13 |
| 1336468446 | Madison Lee Podiatry, Inc | Podiatrist | 6502 Detroit Ave, Cleveland, OH 44102-3014 | 2010-05-28 |
| 1770680357 | Jeffrey D Solomon | Podiatrist | 6131 Saint Clair Ave, Cleveland, OH 44103-1627 | 2006-09-17 |
| 1306957162 | Stephen Paul Smik | Podiatrist | 3386 Warren Rd, Cleveland, OH 44111-2031 | 2006-08-31 |
| 1942229034 | Stanley Beekman | Podiatrist | 13333 Lorain Ave, 13333 Lorain Ave, Cleveland, OH 44111-3400 | 2006-07-19 |
| 1942241419 | Cheryl E. Chilton | Podiatrist | 2916 Central Ave, Cleveland, OH 44115-3229 | 2006-06-08 |
| 1366406423 | Patrick J Mckee | Podiatrist | 9500 Euclid Ave # Deska40, Cleveland, OH 44195-0001 | 2006-04-14 |
| 1427019074 | Faried Muntaser | Podiatrist | 11602 Kinsman Rd, Cleveland, OH 44120-4318 | 2006-03-31 |
| 1578547238 | Richard Lee Baker | Podiatrist | 2850 Ocoee St N, Bradley Family Foot Care Ste 1, Cleveland, TN 37312-5385 | 2005-12-05 |
| 1316945884 | Morris Tyrone Haywood | Podiatrist | 4415 Euclid Ave, #110, Cleveland, OH 44103 | 2005-07-08 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on LAKE POINT MEDICAL GROUP,LLC.
| 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.