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PRIMEHEALTH SURGERY
NPI 1508800426
Surgery in Willoughby, OH

Active since June 15, 2006
36060 EUCLID AVE, SUITE 204, WILLOUGHBY, OH 44094(440) 602-6553(440) 602-6566 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primehealth Surgery NPPES

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

PRIMEHEALTH SURGERY (NPI 1508800426) is a healthcare organization registered as a surgery in Willoughby, Ohio and active in the NPI registry since June 2006. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1508800426
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLAKE HOSPITAL SYSTEM INC
Location Address36060 EUCLID AVE, SUITE 204Willoughby, OH 44094-4656
Mailing AddressPo Box 714328Columbus, OH 73271-4328 · (800) 354-1985 · Fax (440) 350-4938
Phone(440) 602-6553
Fax(440) 602-6566
Organization SubpartYesParent: Lake Hospital System, Inc.
Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1051
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 10, 2007
✔ NPI 1508800426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
36060 EUCLID AVE, Willoughby, OH 44094
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Other Names 1

Doing Business AsPrimehealth Surgery

Other Identifiers 2

Medicare PINLA9368241OH
Medicaid2591502OH

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

Other Providers at the Same Location NPPES 14

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

LAKE HOSPITAL SYSTEM, INC.
Orthopaedic Surgery
36060 EUCLID AVE, SUITE 203
WILLOUGHBY, OH 44094
Lake County (440) 602-6670
WILLIAM J PETRAIUOLO MD
Surgery
36060 EUCLID AVE, SUITE 204
WILLOUGHBY, OH 44094
Lake County (440) 602-6553
CHRISTOPHER WADE WRIGHT
Physical Therapist
36060 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-6036
HELGE ULRICH SIMON M.D
Internal Medicine (Cardiovascular Disease)
36060 EUCLID AVE, 107
WILLOUGHBY, OH 44094
Lake County (440) 269-8346
MATTHEW M KEUM, M.D., INC
Pain Medicine (Pain Medicine)
36060 EUCLID AVE, SUITE 101
WILLOUGHBY, OH 44094
Lake County (440) 269-4990
SHERRY NICOLE CLEMENTE CNP
Nurse Practitioner (Family)
36060 EUCLID AVE, SUITE 204
WILLOUGHBY, OH 44094
Lake County (440) 602-6553
DIANA LEE MACKENSEN FNP-C
Nurse Practitioner (Family)
36060 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9600
DR. DAVID LITTLETON ROLLINS MD
Surgery (Vascular Surgery)
36060 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 269-8346

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 1508800426. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Primehealth Surgery.

Where is Lake Hospital System Inc located?

Lake Hospital System Inc is located at 36060 Euclid Ave Suite 204, Willoughby, OH 44094. The listed phone number is (440) 602-6553.

What is Lake Hospital System Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Lake Hospital System Inc was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.