Lake Obstetrics and Gynecology, Inc
NPI 1811950447 · Obstetrics & Gynecology Physician · Mentor, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Obstetrics and Gynecology, Inc is a Obstetrics & Gynecology Physician organization in Mentor, OH (NPI 1811950447).
Provider details
- NPI number
- 1811950447
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susanna Bowman, Office Manager(440) 357-7100
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
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 7580 Auburn Rd Ste 313Concord Twp, OH 44077-9618Phone: (440) 352-0688Fax: (440) 352-3724
- 6270 N Ridge RdMadison, OH 44057-2567Phone: (440) 357-7100Fax: (440) 357-8132
- 9500 Mentor AveMentor, OH 44060-8713Phone: (440) 357-7100Fax: (440) 357-8132
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Lake Obstetrics and Gynecology, Inc's NPI number?
- Lake Obstetrics and Gynecology, Inc's National Provider Identifier (NPI) is 1811950447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Obstetrics and Gynecology, Inc?
- Lake Obstetrics and Gynecology, Inc is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Obstetrics and Gynecology, Inc located?
- Lake Obstetrics and Gynecology, Inc's practice location on file with NPPES is 8300 Tyler Blvd Ste 300, Mentor, OH 44060-4251.
- What is Lake Obstetrics and Gynecology, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Obstetrics and Gynecology, Inc is (440) 557-7100.
- Does Lake Obstetrics and Gynecology, Inc accept Medicare?
- Lake Obstetrics and Gynecology, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Obstetrics and Gynecology, Inc?
- The authorized official listed on Lake Obstetrics and Gynecology, Inc's NPPES record is Susanna Bowman, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Obstetrics and Gynecology, Inc's NPI active?
- Yes — Lake Obstetrics and Gynecology, Inc's NPI (1811950447) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.