NPIMap

Organization Active NPI

Lakewood Hospital Association

Doing business as Lakewood Hospital

  • Rehabilitation Hospital Unit
  • Lakewood, OH
National Provider Identifier
1972541837
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
1134 Issued in OH
Legal business name
LAKEWOOD HOSPITAL ASSOCIATION
Doing business as
Lakewood Hospital
Practice address
14519 Detroit Ave
Lakewood, OH 44107-4316
Phone
(216) 521-4200
NPI assigned
Jun 3, 2006
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Steven Glass
Title
Cfo
Phone
(216) 444-9361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 1134 OH Primary

Addresses

Primary practice location

14519 Detroit Ave
Lakewood, OH 44107-4316

Mailing address

6801 Brecksville Rd
Suite 20 RK10
Independence, OH 44131-5032
Phone (216) 636-8051

Other identifiers 3

IdentifierTypeStateIssuer
521890OtherAETNA
000000157342OtherANTHEM
5000096OtherUNITED HEALTHCARE

Other names 1

  • Lakewood Hospital Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1972541837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "SUITE 20 RK10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315032",
            "telephone_number": "216-636-8051",
            "fax_number": "216-636-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14519 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074316",
            "telephone_number": "216-521-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-444-9361"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "OH",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "521890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000157342",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.