LAKE HEALTH PHYSICIAN GROUP – NPI #1003090689
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

LAKE HEALTH PHYSICIAN GROUP is an orthopaedic surgeon located in WILLOUGHBY, OH. NPPES has assigned the NPI number 1003090689 to LAKE HEALTH PHYSICIAN GROUP on December 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE HEALTH PHYSICIAN GROUP” 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 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 15 years ago on Apr 14, 2011. 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 LAKE HEALTH PHYSICIAN GROUP below.

NPI Profile for
LAKE HOSPITAL SYSTEM, INC.

NPI Number
1003090689
Enumeration Date

(more than 18 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): LAKE HEALTH PHYSICIAN GROUP
Primary location
36060 EUCLID AVE
SUITE 203
WILLOUGHBY, OH 44094-4656
Phone: (440) 602-6670 Fax: (440) 602-6671
Mailing address
P.O. BOX 714328
COLUMBUS, OH 43271-4328
Phone: (440) 602-6670 Fax: (440) 602-6671
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
207X00000X
- Orthopaedic Surgery (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.