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LAKE HEALTH PHYSICIAN GROUP VASCULAR ACCESS SURGERY
NPI 1124255278
Surgery - Vascular Surgery in Willoughby, OH

Active since June 16, 2009
36001 EUCLID AVE, B-3, WILLOUGHBY, OH 44094(440) 953-1898(440) 953-9296 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Health Physician Group Vascular Access Surgery NPPES

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

LAKE HEALTH PHYSICIAN GROUP VASCULAR ACCESS SURGERY (NPI 1124255278) is a healthcare organization registered as a vascular surgery in Willoughby, Ohio and active in the NPI registry since June 2009. The organization lists Richard D Cicero, Sr. Vp, Business Development, as its authorized official.

NPPES Registry Identity

NPI1124255278
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameLAKE HOSPITAL SYSTEM, INC.
Location Address36001 EUCLID AVE, B-3Willoughby, OH 44094-4643
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (440) 354-1899 · Fax (440) 354-1089
Phone(440) 953-1898
Fax(440) 953-9296
Organization SubpartNo
Authorized OfficialRichard D CiceroSr. Vp, Business Development · (440) 354-1739
Enumeration DateJune 16, 2009
Last NPPES UpdateApril 25, 2011
✔ NPI 1124255278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
36001 EUCLID AVE, Willoughby, OH 44094
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Other Names 1

Doing Business AsLake Health Physician Group Vascular Access Surgery

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

Other Providers at the Same Location NPPES 18

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

DR. MING HUEI PHILLIP CHIANG M.D.
Family Medicine
36001 EUCLID AVE, B4
WILLOUGHBY, OH 44094
Lake County (440) 946-5151
LISA KUHEN NP
Nurse Practitioner (Adult Health)
36001 EUCLID AVE, SUITE C6
WILLOUGHBY, OH 44094
Lake County (440) 946-0053
DR. DARLYNE FRAZEE D.D.S.
Dentist (General Practice)
36001 EUCLID AVE, #A-3
WILLOUGHBY, OH 44094
Lake County (440) 946-6373
RUSSELL ALLEN BLAIR MD
Internal Medicine (Pulmonary Disease)
36001 EUCLID AVE, C19
WILLOUGHBY, OH 44094
Lake County (440) 946-0053
DIANE M. CORNICELLI, M.D. INC,
Internal Medicine
36001 EUCLID AVE, SUITE C-19
WILLOUGHBY, OH 44094
Lake County (216) 374-9664
JENNIFER L KRIESSLER NP
Nurse Practitioner (Adult Health)
36001 EUCLID AVE, C6
WILLOUGHBY, OH 44094
Lake County (440) 946-0053
ENLIGHTENED HEALTH MANAGEMENT LLC
Pain Medicine (Pain Medicine)
36001 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 212-6205
DR. MARK GOLDBERG M.D.
Surgery (Vascular Surgery)
36001 EUCLID AVE, SUITE B-6
WILLOUGHBY, OH 44094
Lake County (440) 953-2500

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 1124255278. It was assigned to this organization in the NPPES registry on June 16, 2009. The provider is doing business as Lake Health Physician Group Vascular Access Surgery.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 36001 Euclid Ave B-3, Willoughby, OH 44094. The listed phone number is (440) 953-1898.

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

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Lake Hospital System, Inc. was last updated on April 25, 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.