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LAKESIDE HEART AND LUNG CENTER, INC.
NPI 1417030982
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Sandusky, OH

Active since October 20, 2006
703 TYLER ST, STUITE 252, SANDUSKY, OH 44870(419) 609-8000(419) 609-8002 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Heart And Lung Center, Inc. NPPES

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

LAKESIDE HEART AND LUNG CENTER, INC. (NPI 1417030982) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Sandusky, Ohio and active in the NPI registry since October 2006. The organization lists Anthony Deriso, Director/ Owner, as its authorized official.

NPPES Registry Identity

NPI1417030982
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameLAKESIDE HEART AND LUNG CENTER, INC.
Location Address703 TYLER ST, STUITE 252Sandusky, OH 44870-3367
Mailing Address703 Tyler St, Ste 252Sandusky, OH 44870-3367 · (419) 609-8000 · Fax (419) 609-8002
Phone(419) 609-8000
Fax(419) 609-8002
Organization SubpartNo
Authorized OfficialAnthony DerisoDirector/ Owner · (419) 609-8000
Enumeration DateOctober 20, 2006
Last NPPES UpdateApril 23, 2012
✔ NPI 1417030982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
703 TYLER ST, Sandusky, OH 44870
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Other Identifiers 3

Medicare UPINF27453OH
Medicare ID-Type UnspecifiedDE4032381OH
Medicaid0883469OH

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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.

NORTH COAST SURGICAL ASSOCIATES, INC.
Surgery
703 TYLER ST, SUITE 150
SANDUSKY, OH 44870
Erie County (419) 625-8722
DR. WILLIAM SCOTT SHELDON D.O.
Internal Medicine (Interventional Cardiology)
703 TYLER ST, SUITE 250
SANDUSKY, OH 44870
Erie County (440) 414-9300
BAY AREA RADIOLOGISTS, INC.
Specialist
703 TYLER ST, SUITE 102
SANDUSKY, OH 44870
Erie County (419) 625-7061
ERIE NEUROSURGERY & ASSOC, INC
Neurological Surgery
703 TYLER ST, SUITE 350
SANDUSKY, OH 44870
Erie County (419) 626-7070
DAVID H KIM DO LLC
Surgery (Vascular Surgery)
703 TYLER ST, SUITE 351
SANDUSKY, OH 44870
Erie County (419) 621-7620
DR. MICHAEL J LYSTER IV D.O.
Internal Medicine (Cardiovascular Disease)
703 TYLER ST, SUITE 250
SANDUSKY, OH 44870
Erie County (440) 414-9300
SHERI KERSHAW NP-C
Nurse Practitioner (Family)
703 TYLER ST
SANDUSKY, OH 44870
Erie County (419) 557-6825
DR. HASSAN MOHAMMAD IBRAHIM M.D.
Internal Medicine (Cardiovascular Disease)
703 TYLER ST, SUITE 250
SANDUSKY, OH 44870
Erie County (440) 414-9300

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 Lakeside Heart And Lung Center, Inc.'s NPI number?

The NPI number for Lakeside Heart And Lung Center, Inc. is 1417030982. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Lakeside Heart And Lung Center, Inc. located?

Lakeside Heart And Lung Center, Inc. is located at 703 Tyler St Stuite 252, Sandusky, OH 44870. The listed phone number is (419) 609-8000.

What is Lakeside Heart And Lung Center, Inc.'s specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

What insurance does Lakeside Heart And Lung Center, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Lakeside Heart And Lung Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Heart And Lung Center, Inc. was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.