Lake Hospital System, Inc.
NPI 1639315062 · Sports Medicine (Family Medicine) Physician · Willowick, OH
Lake Hospital System, Inc. is a Sports Medicine (Family Medicine) Physician organization in Willowick, OH (NPI 1639315062).
Provider details
- NPI number
- 1639315062
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Tracz, Chief Financial Officer(440) 354-1642
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Primehealth Sports Medicine
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2009-01-07
Frequently asked questions
- What is Lake Hospital System, Inc.'s NPI number?
- Lake Hospital System, Inc.'s National Provider Identifier (NPI) is 1639315062, 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 Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Hospital System, Inc. located?
- Lake Hospital System, Inc.'s practice location on file with NPPES is 29804 Lakeshore Blvd, Willowick, OH 44095-4611.
- 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) 354-1899.
- 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 (1639315062) is active in the NPPES registry as of the last update on 2009-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.