| Lake Point Medical Group,llc | |
|
15800 Detroit Ave Ste 2a Lakewood OH 44107-3748 | |
| (216) 226-8700 | |
| (216) 221-3171 |
| Full Name | Lake Point Medical Group,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15800 Detroit Ave Ste 2a, Lakewood, Ohio |
| Authorized Official Name and Position | George M Khuri (MANAGING MEMBER) |
| Authorized Official Contact | 2162268700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Point Medical Group,llc 15800 Detroit Ave Lakewood OH 44107-3748 Ph: (216) 226-8700 | Lake Point Medical Group,llc 15800 Detroit Ave Ste 2a Lakewood OH 44107-3748 Ph: (216) 226-8700 |
| NPI Number | 1235646191 |
|---|---|
| Provider Enumeration Date | 01/01/2018 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 6002177342 |
|---|---|
| Medicare Enrollment ID | O20180228002221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235646191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James T Corpus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801862586 PECOS PAC ID: 7214929314 Enrollment ID: I20040331000082 |
| Provider Name | Carole A Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265425110 PECOS PAC ID: 2062461817 Enrollment ID: I20050119000280 |
| Provider Name | George M Khuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760459978 PECOS PAC ID: 6800845512 Enrollment ID: I20050120000411 |
| Provider Name | Dennis Benjamin Repenning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790753432 PECOS PAC ID: 0446275291 Enrollment ID: I20051011000211 |
| Provider Name | James R Crandell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396711610 PECOS PAC ID: 8729004197 Enrollment ID: I20051017000013 |
| Provider Name | Kristina M Kovach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669465142 PECOS PAC ID: 4183646144 Enrollment ID: I20051220000000 |
| Provider Name | Angelo M Barile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558370148 PECOS PAC ID: 5092719187 Enrollment ID: I20060901000133 |
| Provider Name | Marilyn A Culley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593750 PECOS PAC ID: 3476699083 Enrollment ID: I20091013000566 |
| Provider Name | Amber Tully |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215144506 PECOS PAC ID: 2668530023 Enrollment ID: I20110927000135 |
| Provider Name | Rachel C Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649580812 PECOS PAC ID: 5092973867 Enrollment ID: I20120224000361 |
| Provider Name | Edward Kilbane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225287410 PECOS PAC ID: 1456527431 Enrollment ID: I20150310001312 |
| Provider Name | Sarah Kusek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982008561 PECOS PAC ID: 2365760402 Enrollment ID: I20150421001532 |
| Provider Name | Joanne Kathleen Bickerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205210598 PECOS PAC ID: 2062728850 Enrollment ID: I20150824001643 |
| Provider Name | Joseph Fernando Keppler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932627825 PECOS PAC ID: 0648546531 Enrollment ID: I20171020000223 |
| Provider Name | Michelle H Haldeman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669851812 PECOS PAC ID: 2466741103 Enrollment ID: I20180530002054 |
| Provider Name | Barbara R. Shue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255813010 PECOS PAC ID: 1254675689 Enrollment ID: I20181211003485 |
| Provider Name | Erika Nicole Caine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992286603 PECOS PAC ID: 4385983337 Enrollment ID: I20190308001351 |
| Provider Name | Sherri Michelle Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144881384 PECOS PAC ID: 8729319827 Enrollment ID: I20191003001351 |
| Provider Name | Molly Marina Mulcahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417567405 PECOS PAC ID: 6103243845 Enrollment ID: I20200826003494 |
| Provider Name | Mina Ghassemi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447747597 PECOS PAC ID: 8224426804 Enrollment ID: I20211101002279 |
| Provider Name | Brenna C Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083286041 PECOS PAC ID: 1759760820 Enrollment ID: I20220620002093 |
Abco Medical Center, L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13535 Detroit Ave Ste 4, Lakewood, OH 44107 Phone: 216-226-2626 Fax: 216-226-6745 | |
Premier Physicians Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14600 Detroit Ave, Suite 103, Lakewood, OH 44107 Phone: 216-227-0717 Fax: 216-227-0827 | |
City Of Lakewood - Division Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12805 Detroit Ave, Lakewood, OH 44107 Phone: 216-529-7690 Fax: 216-529-5910 | |
Neighborhood Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11906 Madison Ave, Lakewood, OH 44107 Phone: 216-281-0872 | |
Neighborhood Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14306 Detroit Ave Rm A, Lakewood, OH 44107 Phone: 216-281-0872 Fax: 216-961-5429 | |
Nitin Govani Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13535 Detroit Ave, Suite-1, Lakewood, OH 44107 Phone: 216-521-3430 Fax: 216-521-5313 |