PRIMEHEALTH INTERNAL MEDICINE MENTOR
NPI 1861420804
Internal Medicine in Mentor, OH

Active since June 29, 2006
9485 MENTOR AVE, #210, MENTOR, OH 44060(440) 205-5745(440) 205-5735 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Primehealth Internal Medicine Mentor NPPES

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

PRIMEHEALTH INTERNAL MEDICINE MENTOR (NPI 1861420804) is a healthcare organization registered as an internal medicine in Mentor, 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

NPI1861420804
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKE HOSPITAL SYSTEM, INC.
Location Address9485 MENTOR AVE, #210Mentor, OH 44060-4597
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (800) 354-1985 · Fax (440) 350-4938
Fax(440) 205-5735
Organization SubpartYes
Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1051
Enumeration DateJune 29, 2006
Last NPPES UpdateSeptember 6, 2007
NPI 1861420804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9485 MENTOR AVE, Mentor, OH 44060

Other Names 1

Doing Business AsPrimehealth Internal Medicine Mentor

Other Identifiers 2

Medicaid2183499OH
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 20

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

Pediatrics
9485 MENTOR AVE, 101
MENTOR, OH 44060
Dentist
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Dentist (General Practice)
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Nurse Practitioner (Family)
9485 MENTOR AVE
MENTOR, OH 44060
Dentist (General Practice)
9485 MENTOR AVE, SUITE #112
MENTOR, OH 44060
Radiology (Radiation Oncology)
9485 MENTOR AVE, SUITE 3
MENTOR, OH 44060

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 1861420804. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Primehealth Internal Medicine Mentor.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 9485 Mentor Ave #210, Mentor, OH 44060. The listed phone number is (440) 205-5745.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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 19 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.