Individual provider Active NPI

Kristen Eichorn, MD

  • Obstetrics & Gynecology Physician
  • Mentor, OH
National Provider Identifier
1750709150
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.133404 Issued in OH
Practice address
8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251
Phone
(440) 357-7100
NPI assigned
Apr 2, 2014
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.133404 OH Primary

Addresses

Primary practice location

8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251

Mailing address

8030 Lake Wood Dr
Portage, MI 49002-5565

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kristen.eichorn@log.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816002949 OH Practitioner - Obstetrics/Gynecology 1951607001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Obstetrics and Gynecology, IncGroup PAC ID 5799794350, 6 clinicians

Practice addresses (Care Compare)

8300 Tyler Blvd
Suite 300
Mentor, OH 44060-4251
Phone (440) 357-7100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.133404OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc CurrentSince Aug 1, 2018 Accepting new patients
Lake Hospital System, Inc CurrentSince Aug 1, 2018 Accepting new patients
Lake Obstetrics and Gynecology, Inc Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Lake Hospital System Inc Obstetrics & Gynecology Current Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients

Locations

8300 Tyler Blvd
Ste 300
Mentor, OH 44060
Phone (440) 205-1529

9500 Mentor Ave
Ste 220
Mentor, OH 44060
Phone (440) 357-7100

Interoperability endpoints

  • Direct secure messaging: keichorn218693@ehrdirect.uhhospitals.org
  • Direct secure messaging: kristen.eichorn@log.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1750709150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 LAKE WOOD DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490025565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-357-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHORN",
        "first_name": "KRISTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.133404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristen.eichorn@log.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "eclinical direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "9500 Mentor Ave Ste 220",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440608714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.