PRIMEHEALTH PEDIATRICS WILLOUGHBY
NPI 1720020274
Pediatrics in Willoughby, OH

Q: What is Lake Hospital System Inc's NPI number?

The NPI number for Lake Hospital System Inc is 1720020274. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Primehealth Pediatrics Willoughby.

Q: What is Lake Hospital System Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 11, 2006

36001 EUCLID AVE, STE B-16, WILLOUGHBY, OH 44094(440) 942-4844(440) 918-4627 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Primehealth Pediatrics Willoughby NPPES

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

PRIMEHEALTH PEDIATRICS WILLOUGHBY (NPI 1720020274) is a healthcare organization registered as a pediatrics 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

NPI1720020274

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameLAKE HOSPITAL SYSTEM INC

Location Address36001 EUCLID AVE, STE B-16Willoughby, OH 44094

Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (800) 354-1985 · Fax (440) 350-4938

Phone(440) 942-4844

Fax(440) 918-4627

Organization SubpartYesParent: Lake Hospital System, Inc.

Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1051

Enumeration DateJune 11, 2006

Last NPPES UpdateSeptember 6, 2007

✔ NPI 1720020274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

36001 EUCLID AVE, Willoughby, OH 44094

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Other Names 1

Doing Business AsPrimehealth Pediatrics Willoughby

Other Identifiers 2

Medicaid2017338OH

Medicare PINLA9368241OH

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 18

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

DR. MING HUEI PHILLIP CHIANG M.D.

Family Medicine

36001 EUCLID AVE, B4
WILLOUGHBY, OH 44094

Lake County (440) 946-5151

LISA KUHEN NP

Nurse Practitioner (Adult Health)

36001 EUCLID AVE, SUITE C6
WILLOUGHBY, OH 44094

Lake County (440) 946-0053

DR. DARLYNE FRAZEE D.D.S.

Dentist (General Practice)

36001 EUCLID AVE, #A-3
WILLOUGHBY, OH 44094

Lake County (440) 946-6373

LAKE HOSPITAL SYSTEM, INC.

Surgery (Vascular Surgery)

36001 EUCLID AVE, B-3
WILLOUGHBY, OH 44094

Lake County (440) 953-1898

RUSSELL ALLEN BLAIR MD

Internal Medicine (Pulmonary Disease)

36001 EUCLID AVE, C19
WILLOUGHBY, OH 44094

Lake County (440) 946-0053

DIANE M. CORNICELLI, M.D. INC,

Internal Medicine

36001 EUCLID AVE, SUITE C-19
WILLOUGHBY, OH 44094

Lake County (216) 374-9664

JENNIFER L KRIESSLER NP

Nurse Practitioner (Adult Health)

36001 EUCLID AVE, C6
WILLOUGHBY, OH 44094

Lake County (440) 946-0053

ENLIGHTENED HEALTH MANAGEMENT LLC

Pain Medicine (Pain Medicine)

36001 EUCLID AVE
WILLOUGHBY, OH 44094

Lake County (440) 212-6205

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 1720020274. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Primehealth Pediatrics Willoughby.

Where is Lake Hospital System Inc located?

Lake Hospital System Inc is located at 36001 Euclid Ave Ste B-16, Willoughby, OH 44094. The listed phone number is (440) 942-4844.

What is Lake Hospital System Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Lake Hospital System Inc was last updated on September 6, 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.