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PRIMEHEALTH PEDIATRICS MENTOR
NPI 1013951920
Pediatrics in Mentor, OH

Active since June 15, 2006
9485 MENTOR AVE, 101, MENTOR, OH 44060(440) 205-5800(440) 205-5801 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primehealth Pediatrics Mentor NPPES

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

PRIMEHEALTH PEDIATRICS MENTOR (NPI 1013951920) is a healthcare organization registered as a pediatrics in Mentor, Ohio and active in the NPI registry since June 2006. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1013951920
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLAKE HOSPITAL SYSTEM INC
Location Address9485 MENTOR AVE, 101Mentor, OH 44060
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (800) 354-1985 · Fax (440) 350-4938
Phone(440) 205-5800
Fax(440) 205-5801
Organization SubpartYesParent: Lake Hospital System, Inc.
Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1051
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 6, 2007
✔ NPI 1013951920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9485 MENTOR AVE, Mentor, OH 44060
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Other Names 1

Doing Business AsPrimehealth Pediatrics Mentor

Other Identifiers 2

Medicaid2017258OH
Medicare PINLA9368241OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE MACY CERAR DDS INC.
Dentist
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Lake County (440) 255-8133
GWYNETH ELLEN MARKOWITZ PA
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 701-6612
DR. JACQUELINE MACY CERAR D.D.S.
Dentist (General Practice)
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Lake County (440) 255-8133
MRS. ADRIENNE MARIE COLABUNO PA-C
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 205-5716
MARIA ELIZABETH PARKINSON MSN, NP-C
Nurse Practitioner (Family)
9485 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 205-5724
DR. DAWN MARIE PARSONS D.D.S.
Dentist (General Practice)
9485 MENTOR AVE, SUITE #112
MENTOR, OH 44060
Lake County (440) 255-8133
LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER
Radiology (Radiation Oncology)
9485 MENTOR AVE, SUITE 3
MENTOR, OH 44060
Lake County (440) 205-5759
JOHN J BANIEWICZ MD
Internal Medicine
9485 MENTOR AVE, STE 210
MENTOR, OH 44060
Lake County (440) 205-5835

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 1013951920. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Primehealth Pediatrics Mentor.

Where is Lake Hospital System Inc located?

Lake Hospital System Inc is located at 9485 Mentor Ave 101, Mentor, OH 44060. The listed phone number is (440) 205-5800.

What is Lake Hospital System Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Lake Hospital System Inc was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.