Organization Active NPI

Great Lakes Care Inc

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1184091712
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35093209 Issued in OH
Legal business name
GREAT LAKES CARE INC
Practice address
23333 Harvard Rd
Beachwood, OH 44122-6232
Phone
(440) 566-0170
Fax
(440) 585-0249
NPI assigned
Aug 31, 2015
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Ionel Zamfir Donca, M.D.NPI 1841433265
Title
Pesident
Phone
(440) 708-4238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35093209 OH Primary

Addresses

Primary practice location

23333 Harvard Rd
Beachwood, OH 44122-6232

Mailing address

PO Box 660
Mentor, OH 44061-0660
Phone (440) 516-3776

Other practice location 1

7148 West Blvd
Youngstown, OH 44512-4336
Phone (440) 566-0170

Other practice location 2

1985 E Pershing St
Salem, OH 44460-3411
Phone (330) 332-1588

Other practice location 3

1835 Belmore Rd
Cleveland, OH 44112-4301
Phone (216) 268-3600

Other practice location 4

6505 Market St Bldg D
Boardman, OH 44512-3459
Phone (330) 884-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150925000885 OH Part B Supplier - Clinic/Group Practice 4183932072 Receives reassigned benefits from 6 practitioners
Practice locations: Youngstown, OH; Willoughby, OH; Wickliffe, OH; Cleveland, OH; Warren, OH; Salem, OH; Painesville, OH; Mentor, OH…

National Provider Directory

National Provider Directory

Locations

4199 Millpond Dr
Highland Hills, OH 44122
Phone (216) 206-8853

222 E Beech St
Jefferson, OH 44047
Phone (440) 576-0060

29640 Euclid Ave
Wickliffe, OH 44092
Phone (440) 463-9596

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1184091712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440610660",
            "telephone_number": "440-516-3776",
            "fax_number": "440-516-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23333 HARVARD RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226232",
            "telephone_number": "440-566-0170",
            "fax_number": "440-585-0249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7148 West Blvd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445124336",
            "country_code": "US",
            "telephone_number": "440-566-0170",
            "fax_number": "440-585-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1985 E Pershing St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444603411",
            "country_code": "US",
            "telephone_number": "330-332-1588",
            "fax_number": "440-585-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 Belmore Rd",
            "address_purpose": "LOCATION",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441124301",
            "country_code": "US",
            "telephone_number": "216-268-3600",
            "fax_number": "440-585-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6505 Market St Bldg D",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445123459",
            "country_code": "US",
            "telephone_number": "330-884-2300",
            "fax_number": "440-585-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT LAKES CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "DONCA",
        "authorized_official_first_name": "IONEL",
        "authorized_official_middle_name": "ZAMFIR",
        "authorized_official_title_or_position": "PESIDENT",
        "authorized_official_telephone_number": "440-708-4238",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35093209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.