LAKE HEALTH PHYSICIAN GROUP
NPI 1003090689
Orthopaedic Surgery in Willoughby, OH

Active since December 19, 2007
36060 EUCLID AVE, SUITE 203, WILLOUGHBY, OH 44094(440) 602-6670(440) 602-6671 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lake Health Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE HEALTH PHYSICIAN GROUP (NPI 1003090689) is a healthcare organization registered as an orthopaedic surgery in Willoughby, Ohio and active in the NPI registry since December 2007. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1003090689
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameLAKE HOSPITAL SYSTEM, INC.
Location Address36060 EUCLID AVE, SUITE 203Willoughby, OH 44094-4656
Mailing AddressP.o. Box 714328Columbus, OH 43271-4328 · (440) 602-6670 · Fax (440) 602-6671
Fax(440) 602-6671
Organization SubpartNo
Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1642
Enumeration DateDecember 19, 2007
Last NPPES UpdateApril 14, 2011
✔ NPI 1003090689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
36060 EUCLID AVE, Willoughby, OH 44094

Other Names 1

Doing Business AsLake Health Physician Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Health Physician Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

284

Medicare enrollment records show 284 clinicians reassign Medicare billing to Lake Health Physician Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 147 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner115
Family Practice51
Internal Medicine20
Obstetrics/Gynecology16
Neurology12
General Surgery10
Pediatric Medicine10
Cardiovascular Disease (Cardiology)7
21 other specialties43

Nearest to this location (20)

See all 284
Nurse Practitioner
NPI 1528494531
36060 EUCLID AVE SUITE 204
Willoughby, OH 44094
(440) 602-6553
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1437230307
36060 EUCLID AVE STE 203
Willoughby, OH 44094
(440) 602-6670
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770890055
36060 EUCLID AVE STE 107
Willoughby, OH 44094
(440) 375-8100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629575329
36060 EUCLID AVE
Willoughby, OH 44094
(440) 953-9600
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1144336470
36060 EUCLID AVE SUITE 204
Willoughby, OH 44094
(440) 602-6553
✔ PECOSSame address
Nurse Practitioner
NPI 1093273138
35900 EUCLID AVE
Willoughby, OH 44094
(440) 812-0868
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1235975947
36000 EUCLID AVE
Willoughby, OH 44094
(440) 953-9600
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1275566556
36001 EUCLID AVE STE C7
Willoughby, OH 44094
(440) 602-6710
✔ PECOS✔ Accepts Medicare0.1 mi
Endocrinology
NPI 1649238395
36100 EUCLID AVE SUITE 320
Willoughby, OH 44094
(440) 951-1073
✔ PECOS0.1 mi
Internal Medicine
NPI 1770699019
36100 EUCLID AVE #240
Willoughby, OH 44094
(440) 953-6294
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1417028556
36100 EUCLID AVE STE 170
Willoughby, OH 44094
(440) 602-6737
✔ PECOS0.1 mi
Ophthalmology
NPI 1770926818
36100 EUCLID AVE STE 450
Willoughby, OH 44094
(440) 946-9555
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1861451403
36100 EUCLID AVE SUITE 120
Willoughby, OH 44094
(440) 951-8360
✔ PECOS0.1 mi
Sleep Medicine
NPI 1780847632
36100 EUCLID AVE SUITE 210
Willoughby, OH 44094
(440) 602-6770
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1013023357
36100 EUCLID AVE STE 240
Willoughby, OH 44094
(440) 953-6294
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1376702241
5105 SOM CENTER ROAD SUITE 201
Willoughby, OH 44094
(440) 602-6710
✔ PECOS✔ Accepts Medicare0.4 mi
Rheumatology
NPI 1083685952
5105 SOM CENTER RD # 105
Willoughby, OH 44094
(440) 953-8700
✔ PECOS0.4 mi
Pain Management
NPI 1831142140
5105 SOM CENTER ROAD SUITE 202
Willoughby, OH 44094
(440) 953-5760
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1114260122
5105 SOM CENTER RD #106
Willoughby, OH 44094
(440) 953-5740
✔ PECOS✔ Accepts Medicare0.4 mi
Anesthesiology
NPI 1104015213
5105 SOM CENTER ROAD SUITE 202
Willoughby, OH 44094
(440) 953-5760
✔ PECOS0.4 mi
See all 284 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Hospital System, Inc.'s NPI number?

The NPI number for Lake Hospital System, Inc. is 1003090689. It was assigned to this organization in the NPPES registry on December 19, 2007. The provider is doing business as Lake Health Physician Group.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 36060 Euclid Ave Suite 203, Willoughby, OH 44094. The listed phone number is (440) 602-6670.

What is Lake Hospital System, Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lake Hospital System, Inc. enrolled in Medicare?

Yes. Lake Hospital System, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Hospital System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (115), Family Practice (51) and Internal Medicine (20). Of these, 5 practice at this address and 147 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Hospital System, Inc. was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.