Provider Type Icon

LAKE HOSPITAL SYSTEM INC NPI 1699719518


NPI Information

NPI: 1699719518
Provider Name: LAKE HOSPITAL SYSTEM INC

Other Name: PRIMEHEALTH WOMENS HEALTH SPECIALISTS

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
35040 CHARDON RD
BLDG VII #205
WILLOUGHBY HILLS, OH
ZIP 44094
Phone: (440) 918-4630
Get Directions

LAKE HOSPITAL SYSTEM INC is an obstetrics gynecology in Willoughby Hills, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LAKE HOSPITAL SYSTEM INC NPI is 1699719518. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Primehealth Womens Health Specialists.

The provider's business location address is:

35040 CHARDON RD
BLDG VII #205
WILLOUGHBY HILLS, OH
ZIP 44094
Phone: (440) 918-4630
Fax: (440) 918-4632

The provider's authorized official is Robert Tracz .
The authorized official title is Chief Financial Officer and has the following contact phone number (440) 354-1051.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 9/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LA9368241MEDICARE PINOHIO
22111100MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.