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PRIMEHEALTH SPORTS MEDICINE
NPI 1639315062
Family Medicine - Sports Medicine in Willowick, OH

Active since January 07, 2009
29804 LAKESHORE BLVD, WILLOWICK, OH 44095(440) 354-1899(440) 354-1089 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primehealth Sports Medicine NPPES

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

PRIMEHEALTH SPORTS MEDICINE (NPI 1639315062) is a healthcare organization registered as a sports medicine in Willowick, Ohio and active in the NPI registry since January 2009. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1639315062
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameLAKE HOSPITAL SYSTEM, INC.
Location Address29804 LAKESHORE BLVDWillowick, OH 44095-4611
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (800) 354-1985 · Fax (440) 350-4938
Phone(440) 354-1899
Fax(440) 354-1089
Organization SubpartNo
Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1642
Enumeration DateJanuary 7, 2009
✔ NPI 1639315062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
29804 LAKESHORE BLVD, Willowick, OH 44095
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Other Names 1

Doing Business AsPrimehealth Sports Medicine

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 3

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

BRITT CONROY MD, PHD
Family Medicine
29804 LAKESHORE BLVD
WILLOWICK, OH 44095
Lake County (440) 833-2095
LAKE HOSPITAL SYSTEM
Family Medicine
29804 LAKESHORE BLVD
WILLOWICK, OH 44095
Lake County (440) 833-2095
DR. GWEN H HAAS MD
Family Medicine
29804 LAKESHORE BLVD
WILLOWICK, OH 44095
Lake County (440) 833-2095

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 1639315062. It was assigned to this organization in the NPPES registry on January 7, 2009. The provider is doing business as Primehealth Sports Medicine.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 29804 Lakeshore Blvd, Willowick, OH 44095. The listed phone number is (440) 354-1899.

What is Lake Hospital System, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Lake Hospital System, Inc. was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.