Robert Mark Znidarsic (NPI# 1144281288, PAC ID# 0749189983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144281288 |
| PAC ID by PECOS | 0749189983 |
| Professional Enrollment ID | I20040107000170 |
| Full Name | Robert Mark Znidarsic |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Address |
510 5th Ave Chardon OH 44024-1076 |
| Phone Number | 4402868908 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002713922 |
| Number of Group Practice Members | 165 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| 360192 | UH GEAUGA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 510 5th Ave, Chardon, OH 44024-1076 | 4402868908 | LAKE HOSPITAL SYSTEM, INC. |
| 36500 Euclid Ave, Willoughby, OH 44094-4455 | 4405160530 | LAKE HOSPITAL SYSTEM, INC. |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Golemgeski | Family Medicine | Lake Hospital System, Inc. | 29804 Lake Shore Blvd, Willowick, OH 44095-4611 |
| Christina J Scott | Nurse Practitioner | Lake Hospital System, Inc. | 36500 Euclid Ave, Willoughby, OH 44094-4455 |
| Kimberly Svec | Nurse Practitioner | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Willoughby, OH 44094-4203 |
| Kristin G Biddell | Nurse Practitioner | Lake Hospital System, Inc. | 7956 Tyler Blvd, Mentor, OH 44060-4806 |
| Bonnie L Broida | Physician Assistant | Lake Hospital System, Inc. | 7590 Auburn Rd, Concord, OH 44077-9176 |
| Amy Marie Livingston | Nurse Practitioner | Lake Hospital System, Inc. | 7685 Lake Shore Blvd, Mentor, OH 44060-3359 |
| Tina M Butt | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Joseph J Kessler Jr. | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Simee I Malik | Pediatric Medicine | Lake Hospital System, Inc. | 8881 Schaeffer St, Mentor, OH 44060-5035 |
| Sandeep V Kotak | Internal Medicine | Lake Hospital System, Inc. | 36100 Euclid Ave, Willoughby, OH 44094-4427 |
| Street Address |
510 5TH AVE |
| City | CHARDON |
| State | OH |
| Zip | 44024-1076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria H Hopkins Glazer | Nurse Practitioner | Lake Hospital System, Inc. | 510 5th Ave, Chardon, OH 44024-1076 |
| Emily E Palscak | Nurse Practitioner | Lake Hospital System, Inc. | 510 5th Ave, Chardon, OH 44024-1076 |
| Carol L Noall | Family Medicine | Lake Hospital System, Inc. | 510 5th Ave, Chardon, OH 44024-1076 |
| Timothy R Neely | Family Medicine | Lake Hospital System, Inc. | 510 5th Ave, Chardon, OH 44024-1076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Agustus Beck | Cardiovascular Disease (cardiology) | Advanced Cardiovascular Consultants Inc | 100 7th Ave, Suite 222, Chardon, OH 44024-1079 |
| Danielle M Tilton | Nurse Practitioner | Advanced Cardiovascular Consultants Inc | 100 7th Ave, Suite 222, Chardon, OH 44024-1079 |
| Krishnan Sundararajan | Internal Medicine | Advanced Cardiovascular Consultants Inc | 100 7th Ave, Suite 222, Chardon, OH 44024-1079 |
| David Ralph Mandel | Rheumatology | 320 Ctr St, Suite B, Chardon, OH 44024-1165 | |
| Louis Dominick Leone | Family Medicine | 320 Ctr St E, Chardon, OH 44024-1165 | |
| Lon Douglas Patton | Optometry | 325 Ctr St, Chardon, OH 44024-1184 | |
| Kristen L Colella | Clinical Social Worker | Lake-geauga Recovery Centers, Inc. | 209 Ctr St, Unit E, Chardon, OH 44024-1189 |
| Sarah Jean Small | Nurse Practitioner | Lake County Foot and Ankle Associates Inc | 325 Ctr St, Suite 1, Chardon, OH 44024-1193 |
| Gladys G De Leon | Podiatry | Lake County Foot and Ankle Associates Inc | 325 Ctr St, Suite 1, Chardon, OH 44024-1193 |
| David A Berman | Chiropractic | 102 E Park St, Suite 3, Chardon, OH 44024-1237 | |
| Find all physicians in zip 44024 | |||
| City | CHARDON |
| Zip Code | 44024 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHARDON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.