MERCY HEALTH PHYSICIANS LORAIN LLC NPI 1023347192

NPI Information

NPI: 1023347192
Provider Name: MERCY HEALTH PHYSICIANS LORAIN, LLC

Former Legal Business Name: TRI-CITY MEDICAL SERVICES, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3700 KOLBE RD
LORAIN, OH
ZIP 44053
Phone: (440) 988-1009
Get Directions

MERCY HEALTH PHYSICIANS LORAIN, LLC is a family medicine in Lorain, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERCY HEALTH PHYSICIANS LORAIN, LLC NPI is 1023347192. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Tri-city Medical Services, Llc.

The provider's business location address is:

3700 KOLBE RD
LORAIN, OH
ZIP 44053-611
Phone: (440) 988-1009

The provider's authorized official is Olivia Dacre .
The authorized official title is Cfo, Medical Group and has the following contact phone number (419) 251-9650.

The enumeration date for this NPI number is 12/18/2009 and was last updated on 2/16/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
4	207VG0400X	Obstetrics & Gynecology	Gynecology	No
5	207RG0100X	Internal Medicine	Gastroenterology	No
6	207T00000X	Neurological Surgery		No
7	207X00000X	Orthopaedic Surgery		No
8	207XX0005X	Orthopaedic Surgery	Sports Medicine	No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	No
10	208600000X	Surgery		No
11	208M00000X	Hospitalist		No
12	332B00000X	Durable Medical Equipment & Medical Supplies		No
13	363A00000X	Physician Assistant		No
14	363L00000X	Nurse Practitioner		No
15	207Q00000X	Family Medicine		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3025372	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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