Tam Pham Mclean (NPI# 1114260122, PAC ID# 2466730676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114260122 |
| PAC ID by PECOS | 2466730676 |
| Professional Enrollment ID | I20161021002133 |
| Full Name | Tam Pham Mclean |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Address |
5105 Som Ctr Rd Willoughby OH 44094-4203 |
| Gender | F |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 36500 Euclid Ave, Willoughby, OH 44094-4455 | 4405160530 | LAKE HOSPITAL SYSTEM, INC. |
| 5105 Som Ctr Rd, Willoughby, OH 44094-4203 | 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 |
5105 SOM CTR RD |
| City | WILLOUGHBY |
| State | OH |
| Zip | 44094-4203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Svec | Nurse Practitioner | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Willoughby, OH 44094-4203 |
| James Miller | Plastic and Reconstructive Surgery | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Suite 107, Willoughby, OH 44094-4203 |
| Nicholas Freeman Volchko | Pain Management | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Suite 202, Willoughby, OH 44094-4203 |
| Michael William Majetich | Family Medicine | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Suite 106, Willoughby, OH 44094-4203 |
| Anabelle Morales Mena | Rheumatology | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Willoughby, OH 44094-4203 |
| Simone Addison Majetich | Family Medicine | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Suite 106, Willoughby, OH 44094-4203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Lauren Mistur | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Lisa E Meek | Internal Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Kirsten T Lynch | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Christi D Woods | Emergency Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Mikhenan M Horvath | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Miesha Merati | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Meredith S Reimer | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Lydia Parker | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Gregory P Kezele | Family Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Michelle Ann Lieb | Optometry | For Your Eyes Only, Inc | 5900 Som Ctr Rd, Suite 19, Willoughby, OH 44094-3044 |
| Find all physicians in zip 44094 | |||
| City | WILLOUGHBY |
| Zip Code | 44094 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WILLOUGHBY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tam Pham Mclean.
| 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.