Lake Anna Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35049143 Issued in OH

Legal business name

LAKE ANNA PRIMARY CARE

Practice address

2701 Star LN
Wadsworth, OH 44281-9546

Phone

(216) 420-9403

Fax

(216) 420-9354

NPI assigned

Dec 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas S. Lehner, MDNPI 1477536258

Title

Owner

Phone

(216) 420-9403

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas S. Lehner, M.D.

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1477536258
  Medicare reassignment NPD Authorized official
• Amy Jo Friedman, M.D.

  • Family Medicine Physician
  • Akron, OH
  • NPI 1033192810
  NPD (past)
• Dianne Kreptowski, D.O.

  • Family Medicine Physician
  • North Canton, OH
  • NPI 1679681282
  NPD (past)
• Christopher P Rizzo, MD

  • Pediatrics Physician
  • Strongsville, OH
  • NPI 1639103013
  NPD (past)
• Gertrude PO Cotiaux, M.D.

  • Family Medicine Physician
  • Boiling Springs, SC
  • NPI 1376525667
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1083897136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442220043",
            "telephone_number": "216-420-9403",
            "fax_number": "216-420-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 STAR LN",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819546",
            "telephone_number": "216-420-9403",
            "fax_number": "216-420-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ANNA PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "LEHNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-420-9403",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35049143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210646",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Kulenics, LMT
• Logan Michaeline Kwasnicka, PA-C
• La Salette Personal Primary Health Care LLC
• Hannah Marie Lahiff, CCC-SLP
• Cynthia Kay Laikos
• Lake County Foot & Ankle Associates, LLC
• Lake County Foot & Ankle Associates, LLC
• Gary William Lake, ATC
• Jeffrey Brian Lang, M.D.
• Larry McElroy

• Family Medicine Physician in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.