Lake Erie Surgical Associates Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LAKE ERIE SURGICAL ASSOCIATES INC

Practice address

5077 Waterford Dr
305
Sheffield Village, OH 44035-0704

Phone

(440) 934-7979

Fax

(440) 934-6969

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Therese Anne Warren

Title

Manager

Phone

(440) 934-7979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669534673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5077 WATERFORD DR",
            "address_2": "305",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440350704",
            "telephone_number": "440-934-7979",
            "fax_number": "440-934-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5077 WATERFORD DR",
            "address_2": "305",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440350704",
            "telephone_number": "440-934-7979",
            "fax_number": "440-934-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ERIE SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-934-7979"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Klem, CNP
• Pamela Koharik
• Laura Krause, PT
• Kyle Christopher Kudela, PA-C
• Sanjay Kumar, D.O.
• Marguerite Marie Lane
• Nicole Marie Laselle, PCC
• Zoe Le, PA-C
• Heidi D. Lencoski, M.D.
• Todd Lewarchick, PT, DPT

• Surgery Physician in Sheffield Village, OH
• Providers in Sheffield Village, OH by specialty
• Surgery Physician 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.