Lake Erie Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAKE ERIE MEDICAL GROUP, INC.

Practice address

6701 Rockside Rd
Suite 250
Cleveland, OH 44131-2358

Phone

(216) 328-8086

Fax

(216) 328-8091

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda H. Starr

Title

Director

Phone

(317) 598-8880

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Gutman, M.D.

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1396713749
  NPD (past)
• Joseph M. Reising, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cincinnati, OH
  • NPI 1841204088
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124111992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 W PLEASANT VALLEY RD",
            "address_2": "#107",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346711",
            "telephone_number": "216-328-2086",
            "fax_number": "216-328-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 250",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-328-8086",
            "fax_number": "216-328-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ERIE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-598-8880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Lairson, RN
• Tina Laisure, CNP
• Ammar Mustansir Lakda, MBBS
• Lake County Foot & Ankle Associates, LLC
• Lake Effect Health
• Lake Erie Preparatory School
• Lake Erie Seniors, Inc.
• Lake Point Medical Group, LLC
• Marisa Rachel Imbroane Lake, MD
• Tonjania Monae Lake, LPN

• Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.