Lake Effect Health

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LAKE EFFECT HEALTH

Practice address

3611 Prospect Ave E
Cleveland, OH 44115-2703

Phone

(440) 289-7584

Fax

(216) 331-6751

NPI assigned

Dec 28, 2018

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Seana Rutherford, APRNNPI 1932598927

Title

Owner/Operator

Phone

(216) 704-1425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seana Rutherford, NP-C

  • Family Nurse Practitioner
  • Brooklyn, OH
  • NPI 1932598927
  Medicare reassignment Care Compare group NPD Authorized official
• Zahra Bazargan, FNP-C

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1538986559
  Medicare reassignment Care Compare group NPD
• Emad Wasef, FNP-C

  • Family Nurse Practitioner
  • North Royalton, OH
  • NPI 1013879105

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Lisa Bursic, AGACNP-BC

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1851036560
  Medicare reassignment NPD
• Khaleel Deeb, MD

  • Family Medicine Physician
  • Brooklyn, OH
  • NPI 1053387761
  Medicare reassignment NPD
• Christopher Ryan Hymer, APRN

  • Family Nurse Practitioner
  • Kettering, OH
  • NPI 1447832787
  Medicare reassignment NPD
• Kimberly Ann Itayem, CNP

  • Clinical Nurse Specialist
  • Cleveland, OH
  • NPI 1013374917
  Medicare reassignment NPD
• Susan Lynn Perez

  • Adult Health Nurse Practitioner
  • Cleveland, OH
  • NPI 1538637962
  Medicare reassignment NPD
• Wendy A Plumley, FNP-C

  • Family Nurse Practitioner
  • Perrysburg, OH
  • NPI 1063001683
  Medicare reassignment NPD
• Meagon Riggs, APRN

  • Nurse Practitioner
  • Brooklyn, OH
  • NPI 1942916093
  Medicare reassignment NPD
• Milana Shurik, CNP, FNP-C

  • Family Nurse Practitioner
  • Brooklyn, OH
  • NPI 1851006852
  Medicare reassignment NPD
• Shari Lynn Villafane, MSN, APRN-CNP

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1023501392
  Medicare reassignment NPD

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1780156984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152703",
            "telephone_number": "440-289-7584",
            "fax_number": "216-331-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152703",
            "telephone_number": "440-289-7584",
            "fax_number": "216-331-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7575 Northcliff Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441443267",
            "country_code": "US",
            "telephone_number": "216-205-4862",
            "fax_number": "216-205-4767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE EFFECT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "SEANA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "216-704-1425",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lair, DO
• Sarah Elizabeth Lairson, RN
• Tina Laisure, CNP
• Ammar Mustansir Lakda, MBBS
• Lake County Foot & Ankle Associates, LLC
• Lake Erie Medical Group, Inc.
• Lake Erie Preparatory School
• Lake Erie Seniors, Inc.
• Lake Point Medical Group, LLC
• Marisa Rachel Imbroane Lake, MD

• Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.