Organization Active NPI

Curtis Lockhart, M.D., Inc.

  • Vascular Surgery Physician
  • Westlake, OH
National Provider Identifier
1376535930
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CURTIS LOCKHART, M.D., INC.
Practice address
29101 Health Campus Dr
Building 2 - Suite 155
Westlake, OH 44145-5270
Phone
(440) 892-5794
Fax
(440) 892-5798
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Curtis Major Lockhart, MDNPI 1952302721
Title
President
Phone
(440) 892-5794

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X OH Primary

Addresses

Primary practice location

29101 Health Campus Dr
Building 2 - Suite 155
Westlake, OH 44145-5270

Mailing address

29101 Health Campus Dr
Building 2 - Suite 155
Westlake, OH 44145-5270
Phone (440) 892-5794

Other identifiers 1

IdentifierTypeStateIssuer
2272820MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000001 OH Part B Supplier - Clinic/Group Practice 4486553716 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake, OH

National Provider Directory

National Provider Directory

Locations

29101 Health Campus Dr
Ste 155
Westlake, OH 44145
Phone (440) 808-1046

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376535930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "BUILDING 2 - SUITE 155",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-892-5794",
            "fax_number": "440-892-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "BUILDING 2 - SUITE 155",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-892-5794",
            "fax_number": "440-892-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS LOCKHART, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "MAJOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-892-5794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • 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.
  • 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.