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

NPI Status: Active since June 16, 2009

Contact Information

36001 EUCLID AVE
B-3
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 953-1898
Fax: (440) 953-9296

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  • Organization
  • Surgery
  • Vascular Surgery

About LAKE HEALTH PHYSICIAN GROUP VASCULAR ACCESS SURGERY

This page provides the complete NPI Profile along with additional information for Lake Health Physician Group Vascular Access Surgery, a provider established in Willoughby, Ohio operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1124255278 assigned on June 2009. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Lake Health Physician Group Vascular Access Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lake Health Physician Group Vascular Access Surgery. The authorized official of this NPI record is Richard D Cicero (Sr. Vp, Business Development)

NPI
1124255278
Provider Legal Name
LAKE HOSPITAL SYSTEM, INC.
Other Organization Name
LAKE HEALTH PHYSICIAN GROUP VASCULAR ACCESS SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
36001 EUCLID AVE B-3 WILLOUGHBY, OH 44094
Location Phone
(440) 953-1898
Location Fax
(440) 953-9296
Mailing Address
PO BOX 714328 COLUMBUS, OH 43271
Mailing Phone
(440) 354-1899
Mailing Fax
(440) 953-9296
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2009
Last Update Date
04-25-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD D CICERO

Authorized Official Title
SR. VP, BUSINESS DEVELOPMENT
Authorized Official Phone
(440) 354-1739

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124255278, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 4 + 5 + 1 + 0 + 2 + 1 + 4 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1124255278.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Family Medicine
36001 EUCLID AVE, B4
WILLOUGHBY, OH 44094
Nurse Practitioner
36001 EUCLID AVE, SUITE C-17
WILLOUGHBY, OH 44094
Surgery (Vascular Surgery)
36001 EUCLID AVE, SUITE B-6
WILLOUGHBY, OH 44094
Pediatrics
36001 EUCLID AVE, STE B-16
WILLOUGHBY, OH 44094
Obstetrics & Gynecology
36001 EUCLID AVE, SUITE C-7
WILLOUGHBY, OH 44094
Dentist (General Practice)
36001 EUCLID AVE, SUITE A-3
WILLOUGHBY, OH 44094
Nurse Practitioner (Adult Health)
36001 EUCLID AVE, SUITE C6
WILLOUGHBY, OH 44094
Dentist (General Practice)
36001 EUCLID AVE, #A-3
WILLOUGHBY, OH 44094
Dentist (General Practice)
36001 EUCLID AVE, SUITE A-5
WILLOUGHBY, OH 44094
Family Medicine
36001 EUCLID AVE, B 4
WILLOUGHBY, OH 44094
Nurse Practitioner (Adult Health)
36001 EUCLID AVE, C6
WILLOUGHBY, OH 44094
Pain Medicine (Pain Medicine)
36001 EUCLID AVE
WILLOUGHBY, OH 44094
Acupuncturist
36001 EUCLID AVE, SUITE A-6
WILLOUGHBY, OH 44094
Chiropractor
36001 EUCLID AVE, SUITE A-18
WILLOUGHBY, OH 44094
Acupuncturist
36001 EUCLID AVE, SUITE B-7
WILLOUGHBY, OH 44094
Internal Medicine (Pulmonary Disease)
36001 EUCLID AVE, C19
WILLOUGHBY, OH 44094
Dentist (General Practice)
36001 EUCLID AVE, SUITE A-15
WILLOUGHBY, OH 44094
Internal Medicine
36001 EUCLID AVE, SUITE C-19
WILLOUGHBY, OH 44094
Nurse Practitioner (Acute Care)
36001 EUCLID AVE
WILLOUGHBY, OH 44094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124255278, enumerated as an "organization" on June 16, 2009.

The provider is located at 36001 EUCLID AVE B-3 WILLOUGHBY, OH 44094 and the phone number is (440) 953-1898.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.