La Salette Personal Primary Health Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35067706L Issued in OH

Legal business name

LA SALETTE PERSONAL PRIMARY HEALTH CARE LLC

Doing business as

Margarita M Lassaletta DBA La Salette PPHC

Practice address

185 Wadsworth Rd
2E
Wadsworth, OH 44281-8330

Phone

(330) 336-5046

Fax

(330) 336-5052

NPI assigned

Jan 30, 2008

Last updated

Oct 10, 2012By 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

Mrs. Margarita Lassaletta, MDNPI 1063518371

Title

Owner

Phone

(330) 336-5046

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Margarita M Lassaletta DBA La Salette PPHC Doing business as

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 1

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.

• Margarita Lassaletta, MD

  • Family Medicine Physician
  • Wadsworth, OH
  • NPI 1063518371
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1922285063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WADSWORTH RD",
            "address_2": "2E",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818330",
            "telephone_number": "330-336-5046",
            "fax_number": "330-336-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WADSWORTH RD",
            "address_2": "2E",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818330",
            "telephone_number": "330-336-5046",
            "fax_number": "330-336-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SALETTE PERSONAL PRIMARY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "LASSALETTA",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-336-5046",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35067706L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045085",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS",
            "identifier": "00000309393",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5908582",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margarita M Lassaletta DBA La Salette PPHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy L Kranek, PA-C
• Barbara Y Kroehle, PCC-S
• Jason Kucharski, PT, OCS
• Angela Kulenics, LMT
• Logan Michaeline Kwasnicka, PA-C
• Hannah Marie Lahiff, CCC-SLP
• Cynthia Kay Laikos
• Lake Anna Primary Care
• Lake County Foot & Ankle Associates, LLC
• Lake County Foot & Ankle Associates, LLC

• Family Medicine Physician in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.