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LAKEVIEW WELLNESS
NPI 1144099524
Family Medicine in Port Clinton, OH

Active since December 27, 2023CLIA 36D2297419 · Waiver
619 FULTON ST # 200, PORT CLINTON, OH 43452(419) 967-6765 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeview Wellness NPPES

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

LAKEVIEW WELLNESS (NPI 1144099524) is a healthcare organization registered as a family medicine in Port Clinton, Ohio and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Shoshana Eisenstein, Partner, as its authorized official.

NPPES Registry Identity

NPI1144099524
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKEVIEW WELLNESS
Location Address619 FULTON ST # 200Port Clinton, OH 43452-2069
Mailing AddressPo Box APort Clinton, OH 43452-8001
Phone(419) 967-6765
Organization SubpartNo
Authorized OfficialShoshana EisensteinPartner · (419) 967-6765
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1144099524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
619 FULTON ST # 200, Port Clinton, OH 43452
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2297419

Lakeview Wellness · Port Clinton, OH
Active · expires Jan 15, 2028
CLIA Number36D2297419
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorShoshana Eisenstein
Laboratory Phone(419) 732-2614
Laboratory LocationLakeview Wellness619 Fulton St, Suite 200, Port Clinton, OH 43452
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Lakeview Wellness's NPI number?

The NPI number for Lakeview Wellness is 1144099524. It was assigned to this organization in the NPPES registry on December 27, 2023.

Where is Lakeview Wellness located?

Lakeview Wellness is located at 619 Fulton St # 200, Port Clinton, OH 43452. The listed phone number is (419) 967-6765.

What is Lakeview Wellness's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lakeview Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2297419) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeview Wellness was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.