Bonnie L Broida (NPI# 1023224805, PAC ID# 2365625688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1023224805 |
| PAC ID by PECOS | 2365625688 |
| Professional Enrollment ID | I20110324000326 |
| Full Name | Bonnie L Broida |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Address |
7590 Auburn Rd Concord OH 44077-9176 |
| Phone Number | 4403541085 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 7590 Auburn Rd, Concord, OH 44077-9176 | 4403541085 | LAKE HOSPITAL SYSTEM, INC. |
| 7590 Auburn Rd, Suite 207, Concord Twp, OH 44077-9176 | 4403541802 | 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 |
| 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 |
| Joy Jean Ianiro | Nurse Practitioner | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Street Address |
7590 AUBURN RD |
| City | CONCORD |
| State | OH |
| Zip | 44077-9176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donnah W Whitaker | Anesthesiology | Anesthesia Associates Pll | 7590 Auburn Rd, Painesville, OH 44077-9176 |
| Linda M W Hayes | Nurse Practitioner | Community Hospitalist, LLC | 7590 Auburn Rd, Concord, OH 44077-9176 |
| Sonja Peckham | Nurse Practitioner | Lake Hospital System, Inc. | 7590 Auburn Rd, Concord, OH 44077-9176 |
| Mark O Farmer | Anesthesiology | Anesthesia Associates Pll | 7590 Auburn Rd, Painesville, OH 44077-9176 |
| Roy Roso | Physician Assistant | Lake Hospital System, Inc. | 7590 Auburn Rd, Concord, OH 44077-9176 |
| Joseph P Capichioni | Anesthesiology | Anesthesia Associates Pll | 7590 Auburn Rd, Painesville, OH 44077-9176 |
| John Richard Hagopian | Anesthesiology | Anesthesia Associates Pll | 7590 Auburn Rd, Painesville, OH 44077-9176 |
| Lynnette Prokop | Physician Assistant | Lake Hospital System, Inc. | 7590 Auburn Rd, Concord, OH 44077-9176 |
| Sara Miller | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Pll | 7590 Auburn Rd, Painesville, OH 44077-9176 |
| John Scerbo | Anesthesiology | Anesthesia Associates Pll | 7590 Auburn Rd, Painesville, OH 44077-9176 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger J Mize | Clinical Social Worker | Western Reserve Counseling Service, Inc.. | Victoria Place On The Park, Painesville, OH 44077 |
| Marcus Estafanous | Ophthalmology | Vitreo Retinal Consultants Inc | 2163 Mentor Ave, Painesville, OH 44077-1323 |
| Seema J Ice | Ophthalmology | Ice Ophthalmology LLC | 2141 Mentor Ave, Painesville, OH 44077-1323 |
| Carl K Shin | Ophthalmology | Ice Ophthalmology LLC | 2141 Mentor Ave, Painesville, OH 44077-1323 |
| Stephen R Kaufman | Ophthalmology | Vitreo Retinal Consultants Inc | 2163 Mentor Ave, Painesville, OH 44077-1323 |
| Maryann Bencin | Qualified Audiologist | 1701 Mentor Ave, Suite 5, Painesville Twp., OH 44077-1459 | |
| Paul Canning Hanahan | General Practice | 50 Normandy Dr, Suite 5, Painesville, OH 44077-1600 | |
| John Harsha Paul | Orthopedic Surgery | 50 Normandy Dr, Suite 2, Painesville, OH 44077-1600 | |
| Scott J Gill | Chiropractic | 1545 Mentor Ave, Painesville, OH 44077-1706 | |
| Brian J Morris | Chiropractic | 1640 Mentor Ave, Painesville, OH 44077-1707 | |
| Find all physicians in zip 44077 | |||
| City | CONCORD |
| Zip Code | 44077 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CONCORD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bonnie L Broida.
| 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.