1. Home
  2. Directory
  3. Ohio
  4. Port Clinton
  5. Family Medicine
  6. NPI Profile

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: July 19, 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
Open in Google Maps ↗

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

What is LAKEVIEW WELLNESS's NPI number?

The NPI number assigned to this healthcare provider is 1144099524, enumerated as an "organization" on December 27, 2023.

Where is the provider located?

The provider is located at 619 FULTON ST # 200 PORT CLINTON, OH 43452 and the phone number is (419) 967-6765.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.