LAKE HEALTH URGENT CARE AND WALK IN CENTER
NPI 1912967209
Clinic/Center - Urgent Care in Willowick, OH

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

The NPI number for Lake Hospital System Inc. is 1912967209. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is also known as Lake Health Urgent Care And Walk In Center.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Active since March 23, 2006

29804 LAKE SHORE BLVD, WILLOWICK, OH 44095(440) 585-3322(440) 585-1962 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lake Health Urgent Care And Walk In Center NPPES

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

LAKE HEALTH URGENT CARE AND WALK IN CENTER (NPI 1912967209) is a healthcare organization registered as an urgent care in Willowick, Ohio and active in the NPI registry since March 2006. The organization lists Bob Tracz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912967209

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NameLAKE HOSPITAL SYSTEM INC.

Location Address29804 LAKE SHORE BLVDWillowick, OH 44095-4611

Mailing AddressPo Box 781348Detroit, MI 48278-1348 · (800) 354-1895 · Fax (440) 585-1962

Phone(440) 585-3322

Fax(440) 585-1962

Organization SubpartNo

Authorized OfficialBob TraczCfo · (440) 354-1953

Enumeration DateMarch 23, 2006

Last NPPES UpdateFebruary 15, 2017

✔ NPI 1912967209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

29804 LAKE SHORE BLVD, Willowick, OH 44095

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Other Names 1

Other NameLake Health Urgent Care And Walk In Center

Other Identifiers 9

Other80507OH · Qualchoice

Other264200001OH · Federal Black Lung

Medicaid2440148OH

Other=========006OH · Tricare

Medicare PIN9368241OH

Other264200001OH · Dept Of Labor

Other6600162OH · United Healthcare

Other=========09OH · Workers Comp

Medicaid2017301OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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 Urgent Care And Walk In Center 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 Urgent Care And Walk In Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 144 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

Angela Brinkman, DO

Family Practice

NPI 1982797874

29804 LAKESHORE BLVD. LHPG WILLOWICK PRIMARY CARE
Willowick, OH 44095

(440) 833-2095