City of Lakewood - Division of Health

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

CITY OF LAKEWOOD - DIVISION OF HEALTH

Practice address

12805 Detroit Ave
Lakewood, OH 44107-2835

Phone

(216) 529-7690

Fax

(216) 529-5910

NPI assigned

Aug 23, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Virginia A Evans, MD

Title

Health Commissioner

Phone

(216) 529-7693

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

City of Lakewood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Lakewood

  • Ambulance
  • Lakewood, OH
  • NPI 1942212733
  NPD tax ID

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104819457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072835",
            "telephone_number": "216-529-7690",
            "fax_number": "216-529-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072835",
            "telephone_number": "216-529-7690",
            "fax_number": "216-529-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAKEWOOD - DIVISION OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "216-529-7693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0874237",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nick Martin Chmura, LPC
• Chris Checkett LLC
• Christinas Counseling Services LLC
• Joselita Chua, M.D.
• City of Lakewood
• Cle Oms Lakewood/Rocky River - Jeffrey W. Kosman DDS Inc.
• Cleveland Clinic Foundation (Lakewood Family Health Center)
• Cleveland Performance Chiropractic, LLC
• Thomas P Cliffel, MD
• Barbara Jeannette Closen, LISW

• State or Local Public Health Clinic/Center in Lakewood, OH
• Providers in Lakewood, OH by specialty
• State or Local Public Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.