Individual provider Active NPI

Lauren Wichman

  • Sports Medicine (Family Medicine) Physician
  • Westlake, OH
National Provider Identifier
1831728765
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35.147572 Issued in OH
Practice address
850 Columbia Rd
Westlake, OH 44145-1493
Phone
(866) 320-4587
NPI assigned
Apr 2, 2020
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 35.147572 OH Primary

Addresses

Primary practice location

850 Columbia Rd
Westlake, OH 44145-1493

Mailing address

5555 Transportation Blvd
Garfield Heights, OH 44125-5371
Phone (877) 440-8326

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
I20240724002718 OH Practitioner - Sports Medicine 5496186264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Wright State University Boonshoft School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 442-1270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.147572OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jul 1, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

5555 Transportation Blvd
Garfield Hts, OH 44125
Phone (216) 518-3444

14601 Detroit Ave
Lakewood, OH 44107
Phone (216) 237-5500

5800 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 204-7400

17840 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 202-2800

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

850 Columbia Rd
Westlake, OH 44145
Phone (440) 808-4000

850 Columbia Rd
Ste 101
Westlake, OH 44145
Phone (440) 808-4000

Interoperability endpoints

  • Direct secure messaging: lwichman200565@direct.metrohealth.org

Organizations & group practices 2

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 3

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1831728765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 TRANSPORTATION BLVD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255371",
            "telephone_number": "877-440-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451493",
            "telephone_number": "866-320-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHMAN",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.147572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.