Igor A Lantsberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35042712 Issued in OH

Practice address

4200 Warrensville Center Rd
Ste 344
Beachwood, OH 44122-7051

Phone

(216) 561-8844

Fax

(216) 561-8894

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1679671366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "STE 344",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-561-8844",
            "fax_number": "216-561-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "STE 344",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-561-8844",
            "fax_number": "216-561-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTSBERG",
        "first_name": "IGOR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35042712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341264282026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0376454",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "102353",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000129201",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "R42712",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110064729",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "341264282",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "58931",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanail Renee Lampkin, MD
• Barry A Lampl, D.O.
• Delmis Landeras Leal
• Modish Jean Lane, M.D.
• Christina Marie Langan, LSW
• Melissa Lappa
• Aaron Daniel Lareau, MD
• Francisco Javier Larrondo Galvez, MD
• Sandra S Laserson, MA CCC-SLP SP-3778
• Quantika Lash

• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.