Lake Cardiovascular LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35070370P Issued in OH

Legal business name

LAKE CARDIOVASCULAR LLC

Practice address

7879 Auburn Rd Ste 1a
Concord TWP, OH 44077-9611

Phone

(440) 354-0944

Fax

(440) 354-2043

NPI assigned

Jun 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Dawn Ringold

Title

Office Manager

Phone

(440) 354-0944

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427586403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7879 AUBURN RD STE 1A",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779611",
            "telephone_number": "440-354-0944",
            "fax_number": "440-354-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7879 AUBURN RD STE 1A",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779611",
            "telephone_number": "440-354-0944",
            "fax_number": "440-354-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CARDIOVASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RINGOLD",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-354-0944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35070370P",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35092518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Kakish, MD
• Robert L Katz, MD
• Korenko Therapy Services, Inc.
• Glenn M Korenko, PT
• Patricia M Korenko, PT
• Lake Health Medical Center
• Lake Hospital System Inc
• Lake Hospital System Inc.
• Lake Hospital System, Inc
• Lake Hospital System, Inc

• All providers in Concord TWP, OH
• Cardiovascular Disease Physician 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.