Organization Active NPI

Lake Pulmonary Care Inc

  • Pulmonary Disease Physician
  • Willoughby, OH
National Provider Identifier
1912214701
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35043692 Issued in OH
Legal business name
LAKE PULMONARY CARE INC
Practice address
4212 State Route 306
#110
Willoughby, OH 44094-9258
Phone
(440) 953-9135
Fax
(440) 269-1338
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Marc James Dinga, MD
Title
President
Phone
(440) 446-1423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 35043692 OH Primary

Addresses

Primary practice location

4212 State Route 306
#110
Willoughby, OH 44094-9258

Mailing address

1450 Som Center Rd
25
Mayfield HTS, OH 44124-2118
Phone (440) 446-1423

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1912214701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SOM CENTER RD",
            "address_2": "25",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242118",
            "telephone_number": "440-446-1423",
            "fax_number": "440-446-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306",
            "address_2": "#110",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949258",
            "telephone_number": "440-953-9135",
            "fax_number": "440-269-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PULMONARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "DINGA",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-446-1423",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35043692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.