Lake Point Medical Group,LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LAKE POINT MEDICAL GROUP,LLC

Practice address

805 Columbia Rd Ste 101
Westlake, OH 44145-1461

Phone

(216) 363-2353

Fax

(216) 696-7375

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

George Khuri, MD

Title

Owner

Phone

(216) 226-8700

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1326602376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COLUMBIA RD STE 101",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451461",
            "telephone_number": "216-363-2353",
            "fax_number": "216-696-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COLUMBIA RD STE 101",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451461",
            "telephone_number": "216-363-2353",
            "fax_number": "216-696-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE POINT MEDICAL GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "KHURI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-226-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Kutina, MD
• Melissa Walton Laco, M.ED., BCBA, COBA
• Pauline Jan Lacy, MA CCC/SLP
• Golnaz Lahsaee, MD
• Lake Family Chiropractic LLC
• Lakefront Psychology
• Lakeshore Speech Therapy, LLC
• Lakeside Therapy
• Lakewood Anesthesia Associates, Inc.
• Lakewood Hospital Professional Services

• Podiatrist in Westlake, OH
• Providers in Westlake, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.