LAKE HOSPITAL SYSTEM NPI 1346202512

NPI Information

  • NPI: 1346202512
  • Provider Name: LAKE HOSPITAL SYSTEM
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 36000 EUCLID AVE
    WILLOUGHBY, OH
    ZIP 44094
  • Phone: (440) 354-1618

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NPI Details

LAKE HOSPITAL SYSTEM is an obstetrics gynecology in Willoughby, 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 NPI is 1346202512. The provider is registered as an organization entity type.

The provider's business location address is:

36000 EUCLID AVE
WILLOUGHBY, OH
ZIP 44094-625
Phone: (440) 354-1618
Fax: (440) 354-1848

The provider's authorized official is Michael Kittoe .
The authorized official title is Cfo and has the following contact phone number (440) 354-1952.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 8/10/2012.

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 License Number License State Primary
1282N00000XGeneral Acute Care HospitalNo
22080N0001XPediatricsNeonatal-Perinatal MedicineNo
3207V00000XObstetrics & 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
118300OTHEROHIOQUALCHOICE
25000142OTHEROHIOUNITED HEALTHCARE
3=========03OTHEROHIOWORKERS COMP
4LA3600981MEDICARE ID-TYPE UNSPECIFIEDOHIO

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: 3/30/2025

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