OrganizationActive
Lake Hospital System Inc
NPI 1508800426 · Surgery Physician · Willoughby, OH
Lake Hospital System Inc is a Surgery Physician organization in Willoughby, OH (NPI 1508800426).
Provider details
- NPI number
- 1508800426
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lake Hospital System, Inc.
- Organization subpart
- Yes
- Authorized official
- Robert Tracz, Chief Financial Officer(440) 354-1051
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
36060 Euclid Ave
Suite 204
Willoughby, OH 44094-4656
Phone: (440) 602-6553
Fax: (440) 602-6566
Street-level locationGet directions
Mailing address
Po Box 714328
Columbus, OH 73271-4328
Other names (DBA / former)
- Doing business as
- Primehealth Surgery
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2007-09-10
Frequently asked questions
- What is Lake Hospital System Inc's NPI number?
- Lake Hospital System Inc's National Provider Identifier (NPI) is 1508800426, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Hospital System Inc?
- Lake Hospital System Inc is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Hospital System Inc located?
- Lake Hospital System Inc's practice location on file with NPPES is 36060 Euclid Ave, Willoughby, OH 44094-4656.
- What is Lake Hospital System Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Hospital System Inc is (440) 602-6553.
- Who is the authorized official for Lake Hospital System Inc?
- The authorized official listed on Lake Hospital System Inc's NPPES record is Robert Tracz, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Hospital System Inc's NPI active?
- Yes — Lake Hospital System Inc's NPI (1508800426) is active in the NPPES registry as of the last update on 2007-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.