OrganizationActive
Lakeside Heart and Lung Center, Inc.
NPI 1417030982 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Sandusky, OH
Provider details
- NPI number
- 1417030982
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Deriso, Director/ Owner(419) 609-8000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
703 Tyler St
Stuite 252
Sandusky, OH 44870-3367
Phone: (419) 609-8000
Fax: (419) 609-8002
Street-level locationGet directions
Mailing address
703 Tyler St
Sandusky, OH 44870-3367
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2012-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.