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LAKE HEALTH PHYSICIAN GROUP OB/GYN
NPI 1710207329
Obstetrics & Gynecology in Mentor, OH

Active since June 04, 2010
9485 MENTOR AVE, SUITE 202, MENTOR, OH 44060(440) 205-5862(440) 205-5861 Get Directions Write a Review

NPPES record last updated: June 4, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake Health Physician Group Ob/gyn NPPES

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

LAKE HEALTH PHYSICIAN GROUP OB/GYN (NPI 1710207329) is a healthcare organization registered as an obstetrics & gynecology in Mentor, Ohio and active in the NPI registry since June 2010. The organization lists Robert B Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1710207329
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLAKE HOSPITAL SYSTEM, INC.
Location Address9485 MENTOR AVE, SUITE 202Mentor, OH 44060-4597
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (440) 205-5862 · Fax (440) 205-5861
Phone(440) 205-5862
Fax(440) 205-5861
Organization SubpartNo
Authorized OfficialRobert B TraczChief Financial Officer · (440) 354-1642
Enumeration DateJune 4, 2010
✔ NPI 1710207329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9485 MENTOR AVE, Mentor, OH 44060
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Other Names 1

Doing Business AsLake Health Physician Group Ob/gyn

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Health Physician Group Ob/gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

284

Medicare enrollment records show 284 clinicians reassign Medicare billing to Lake Health Physician Group Ob/Gyn, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 154 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner115
Family Practice51
Internal Medicine20
Obstetrics/Gynecology16
Neurology12
General Surgery10
Pediatric Medicine10
Cardiovascular Disease (Cardiology)7
21 other specialties43

Nearest to this location (20)

See all 284
John Baniewicz, MD
Internal Medicine
NPI 1285740530
9485 MENTOR AVE STE 210
Mentor, OH 44060
(440) 205-5835
✔ PECOS✔ Accepts MedicareSame address
Stephen Baum, MD
Internal Medicine
NPI 1396847307
9485 MENTOR AVE STE 210
Mentor, OH 44060
(440) 205-5833
✔ PECOSSame address
Jordan Becker, NP
Nurse Practitioner
NPI 1508107129
9485 MENTOR AVE STE 210
Mentor, OH 44060
(440) 255-5571
✔ PECOS✔ Accepts MedicareSame address
Tina Butt, NP-C
Nurse Practitioner
NPI 1205023173
9485 MENTOR AVENUE SUITE 210
Mentor, OH 44060
(440) 255-5571
✔ PECOS✔ Accepts MedicareSame address
Michelle Cawley, NP-C
Nurse Practitioner
NPI 1326270679
9485 MENTOR AVENUE SUITE 210B
Mentor, OH 44060
(440) 205-5734
✔ PECOS✔ Accepts MedicareSame address
Laura Cifra Bean, MD
Pediatric Medicine
NPI 1720194046
9485 MENTOR AVE #101
Mentor, OH 44060
(440) 205-5800
✔ PECOSSame address
Nicholas Detore, M.D.
Internal Medicine
NPI 1942438197
9485 MENTOR AVE SUITE 210
Mentor, OH 44060
(440) 205-5892
✔ PECOS✔ Accepts MedicareSame address
Bonnie Kitchen, CNP
Nurse Practitioner
NPI 1194188268
9485 MENTOR AVE STE 210
Mentor, OH 44060
(440) 255-5571
✔ PECOS✔ Accepts MedicareSame address
Diane Lester, MD
Pediatric Medicine
NPI 1043327125
9485 MENTOR AVENUE 101
Mentor, OH 44060
(440) 205-5800
✔ PECOSSame address
Dean Pahr, D.O.
Anesthesiology
NPI 1417900473
9485 MENTOR AVE STE 200
Mentor, OH 44060
(440) 205-5799
✔ PECOSSame address
Maria Parkinson, MSN, NP-C
Nurse Practitioner
NPI 1245780824
9485 MENTOR AVE
Mentor, OH 44060
(440) 205-5724
✔ PECOS✔ Accepts MedicareSame address
Michele Pirc, CNP
Nurse Practitioner
NPI 1124045919
9485 MENTOR AVENUE SUITE 210
Mentor, OH 44060
(440) 255-5571
✔ PECOSSame address
Sondra Siatkowski, AGNP-C
Nurse Practitioner
NPI 1174287148
9485 MENTOR AVE STE 210
Mentor, OH 44060
(440) 255-5571
✔ PECOS✔ Accepts MedicareSame address
Kelly Siegel, CNP
Nurse Practitioner
NPI 1427075415
9485 MENTOR AVE
Mentor, OH 44060
(440) 255-5571
✔ PECOSSame address
Brittany Skinner, C.N.P.
Nurse Practitioner
NPI 1033702246
9485 MENTOR AVENUE SUITE 210
Mentor, OH 44060
(440) 255-5571
✔ PECOS✔ Accepts MedicareSame address
Gina Sumpter, NP
Nurse Practitioner
NPI 1164916003
9485 MENTOR AVENUE SUITE 210
Mentor, OH 44060
(440) 255-5571
✔ PECOS✔ Accepts MedicareSame address
Alexandra Harris, C.N.P.
Nurse Practitioner
NPI 1750852620
9485 MENTOR AVE STE 210
Mentor, OH 44060
(440) 255-5571
✔ PECOS✔ Accepts Medicare0.1 mi
Lena Kretzmer, MD, MPH
Pediatric Medicine
NPI 1164984894
9485 MENTOR AVE STE 101
Mentor, OH 44060
(440) 205-5800
✔ PECOS0.1 mi
Touhama Sayegh, M.D.
Internal Medicine
NPI 1285647271
9485 MENTOR AVENUE, SUITE 210
Mentor, OH 44060
(440) 205-5835
✔ PECOS✔ Accepts Medicare0.1 mi
Patty Diaz-Hall, DO
Family Practice
NPI 1841931177
9485 MENTOR AVE STE 210A
Mentor, OH 44060
(216) 541-1918
✔ PECOS✔ Accepts Medicare0.1 mi
See all 284 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1710207329. It was assigned to this organization in the NPPES registry on June 4, 2010. The provider is doing business as Lake Health Physician Group Ob/Gyn.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 9485 Mentor Ave Suite 202, Mentor, OH 44060. The listed phone number is (440) 205-5862.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lake Hospital System, Inc. enrolled in Medicare?

Yes. Lake Hospital System, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Hospital System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (115), Family Practice (51) and Internal Medicine (20). Of these, 16 practice at this address and 154 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Hospital System, Inc. was last updated on June 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.