LAKE HEALTH PHYSICIAN GROUP CONCORD ORTHOPEDICS (LAKE HOSPITAL SYSTEM, INC.) NPI 1578884797

Orthopaedic Surgery in Painesville, OH

NPI 1578884797 Organization Orthopaedic Surgery CLIA Number 36D0995640 CLIA Certificate of Waiver

About LAKE HEALTH PHYSICIAN GROUP CONCORD ORTHOPEDICS (LAKE HOSPITAL SYSTEM, INC.)

Lake Health Physician Group Concord Orthopedics (lake Hospital System, Inc.) is a provider established in Painesville, Ohio specializing in orthopaedic surgery. The NPI number of Lake Health Physician Group Concord Orthopedics (lake Hospital System, Inc.) is 1578884797 and was assigned on June 2010. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Lake Health Physician Group Concord Orthopedics (lake Hospital System, Inc.) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Lake Health Physician Group Concord Orthopedics. The authorized official of this NPI record is Robert B Tracz (Chief Financial Officer)

The CLIA number of Lake Health Physician Group Concord Orthopedics is 36D0995640 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Lake Health Physician Group Concord Orthopedics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1578884797

Provider NameLAKE HEALTH PHYSICIAN GROUP CONCORD ORTHOPEDICS (LAKE HOSPITAL SYSTEM, INC.)
Provider Location Address7580 AUBURN RD SUITE 214 PAINESVILLE, OH 44077
Provider Mailing AddressPO BOX 714328 COLUMBUS, OH 43271
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameLAKE HEALTH PHYSICIAN GROUP CONCORD ORTHOPEDICS
Other Name TypeDoing Business As (3)
Enumeration Date06-22-2010
Last Update Date06-22-2010


Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Business Address

LAKE HEALTH PHYSICIAN GROUP CONCORD ORTHOPEDICS
7580 AUBURN RD
SUITE 214
PAINESVILLE, OH
ZIP 44077
Phone: (440) 602-6670
Fax: (440) 602-6671

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Mailing Address

LAKE HEALTH PHYSICIAN GROUP CONCORD ORTHOPEDICS
PO BOX 714328
COLUMBUS, OH
ZIP 43271
Phone: (440) 602-6670
Fax: (440) 602-6671



Authorized Official

Authorized Official Name ROBERT B TRACZ
Authorized Official TitleCHIEF FINANCIAL OFFICER
Authorized Official Phone(440) 354-1642

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1578884797 is:

CLIA Number36D0995640
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326366352LAKE ORTHOPAEDIC ASSOCIATES, INC.
Organization
Orthopaedic Surgery7580 AUBURN RD SUITE 214
CONCORD TWP, OH 44077
(440) 352-1711
1104100601LAKE HEALTH MEDICAL CENTER
Organization
General Acute Care Hospital7580 AUBURN RD SUITE 207
CONCORD TWP, OH 44077
(440) 953-6082
1114201522MRS. SONJA ELAINE PECKHAM CNP
Individual
Nurse Practitioner (Adult Health)7580 AUBURN RD SUITE 207
CONCORD TWP, OH 44077
(440) 354-1802
1417056516DR. KAREN RENEE GRASSIE M.D.
Individual
Surgery7580 AUBURN RD SUITE 314
CONCORD TWP, OH 44077
(440) 352-0646
1699023390 HELENE ASHLEY CANTIN AUD.
Individual
Audiologist-Hearing Aid Fitter7580 AUBURN RD 103
CONCORD TWP, OH 44077
(440) 352-1474
1720243942 CATHERINE E HELKEY AU.D.
Individual
Audiologist7580 AUBURN RD SUITE 103
CONCORD TWP, OH 44077
(440) 352-1474
1073947867VEIN CLINICS OF LAKE COUNTY LLC
Organization
Internal Medicine7580 AUBURN RD STE 214
PAINESVILLE, OH 44077
(440) 352-2702
1245431527 LORI FALZONE M.A.
Individual
Audiologist7580 AUBURN RD 103
CONCORD TWP, OH 44077
(440) 352-1474
1326007980DRS. HILL AND CHAPNICK, INC.
Organization
Clinical Medical Laboratory7580 AUBURN RD
CONCORD, OH 44077
(440) 354-4208
1366844284LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH
Organization
Pharmacy (Community/Retail Pharmacy)7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(440) 602-6320
1063761955MS. MAUREEN PATRICIA MURRAY NP-C
Individual
Nurse Practitioner (Adult Health)7580 AUBURN RD
CONCORD TWP, OH 44077
(440) 358-1116
1609239193 KAREN CLIFFORD R.D., L.D.
Individual
Dietitian, Registered7580 AUBURN RD PHYSICIAN PAVILION AT TRIPOINT SUITE 201
CONCORD TWP, OH 44077
(440) 350-4511
1528025327 ROBERT L KATZ MD
Individual
Otolaryngology7580 AUBURN RD SUITE 103
CONCORD TWP, OH 44077
(440) 352-1474
1477671642 KATHERINE M NOVOTNY NP-C
Individual
Nurse Practitioner (Family)7580 AUBURN RD SUITE 301
CONCORD TWP, OH 44077
(440) 352-7546
1003005257DR. STANLEY CARTER PACE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)7580 AUBURN RD #302, C/O DRS. HILL AND CHAPNICK, INC
CONCORD TWP, OH 44077
(440) 354-4208
1306455480 ASHLEY HIXON PHARM.D.
Individual
Pharmacist7580 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8791
1639362916 PATRICIA KELLY C.N.P.
Individual
Nurse Practitioner (Family)7580 AUBURN RD SUITE 202
PAINESVILLE, OH 44077
(440) 352-0400
1801454715 PAMELA ALISE HOFFMAN
Individual
Physician Assistant7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(440) 352-7546
1861769630MS. CHRISTINA M. ZAYICEK CNP
Individual
Nurse Practitioner (Family)7580 AUBURN RD #202
PAINESVILLE, OH 44077
(440) 354-1899
1366018574 KAITLIN MARIE HIPPLEY
Individual
Dietitian, Registered7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(216) 538-0643

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.