PRIMEHEALTH WILLOWICK PRIMARY CARE – NPI #1326141987
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PRIMEHEALTH WILLOWICK PRIMARY CARE is a provider located in WILLOWICK, OH. NPPES has assigned the NPI number 1326141987 to PRIMEHEALTH WILLOWICK PRIMARY CARE on September 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMEHEALTH WILLOWICK PRIMARY CARE” is a dba name, the actual legal business name for this organization is LAKE HOSPITAL SYSTEM. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Apr 08, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMEHEALTH WILLOWICK PRIMARY CARE below.

NPI Profile for
LAKE HOSPITAL SYSTEM

NPI Number
1326141987
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE HOSPITAL SYSTEM
Doing Business As (dba): PRIMEHEALTH WILLOWICK PRIMARY CARE
Primary location
29804 LAKESHORE BLVD
WILLOWICK, OH 44095
Phone: (440) 833-2095 Fax: (440) 833-2096
Mailing address
PO BOX 714328
COLUMBUS, OH 43271-4328
Phone: (800) 354-1985 Fax: (440) 350-4938
Organization Subpart
Yes - PRIMEHEALTH WILLOWICK PRIMARY CARE is subpart of another organization.
Authorized Official
ROBERT TRACZ
CHIEF FINANCIAL OFFICER
Phone: (440) 354-1051
Updated
Identifiers

Identifiers for PRIMEHEALTH WILLOWICK PRIMARY CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2694259
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208000000X
- Pediatrics
35-084193
207R00000X
- Internal Medicine
OH 35-084193

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.