PRIMEHEALTH SPORTS MEDICINE – NPI #1639315062
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

PRIMEHEALTH SPORTS MEDICINE is a provider located in WILLOWICK, OH. NPPES has assigned the NPI number 1639315062 to PRIMEHEALTH SPORTS MEDICINE on January 07, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMEHEALTH SPORTS MEDICINE” is a dba name, the actual legal business name for this organization is LAKE HOSPITAL SYSTEM, INC.. The primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

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 SPORTS MEDICINE below.

NPI Profile for
LAKE HOSPITAL SYSTEM, INC.

NPI Number
1639315062
Enumeration Date

(more than 17 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, INC.
Doing Business As (dba): PRIMEHEALTH SPORTS MEDICINE
Primary location
29804 LAKESHORE BLVD
WILLOWICK, OH 44095-4611
Phone: (440) 354-1899 Fax: (440) 354-1089
Mailing address
PO BOX 714328
COLUMBUS, OH 43271-4328
Phone: (800) 354-1985 Fax: (440) 350-4938
Organization Subpart
No
Authorized Official
ROBERT TRACZ
CHIEF FINANCIAL OFFICER
Phone: (440) 354-1642
Updated
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
207QS0010X
- Family Medicine / Sports Medicine (Primary)

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.