| Great Lakes Care Inc | |
|
23333 Harvard Rd Beachwood OH 44122-6232 | |
| (440) 566-0170 | |
| (440) 585-0249 |
| Full Name | Great Lakes Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23333 Harvard Rd, Beachwood, Ohio |
| Authorized Official Name and Position | Ionel Zamfir Donca (PESIDENT) |
| Authorized Official Contact | 4407084238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Care Inc Po Box 660 Mentor OH 44061-0660 Ph: (440) 516-3776 | Great Lakes Care Inc 23333 Harvard Rd Beachwood OH 44122-6232 Ph: (440) 566-0170 |
| NPI Number | 1184091712 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 11/10/2025 |
| Medicare PECOS PAC ID | 4183932072 |
|---|---|
| Medicare Enrollment ID | O20150925000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184091712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35093209 (Ohio) | Primary |
| Provider Name | Ionel Z Donca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841433265 PECOS PAC ID: 9739230954 Enrollment ID: I20090630000227 |
| Provider Name | Laura Starkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336655984 PECOS PAC ID: 3072873009 Enrollment ID: I20180212001439 |
| Provider Name | Sarah Ann Schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710551098 PECOS PAC ID: 4082015771 Enrollment ID: I20210701002892 |
| Provider Name | Kelli M Littlejohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194115048 PECOS PAC ID: 3971954074 Enrollment ID: I20240112000743 |
| Provider Name | Lora Ann Dimichele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457124265 PECOS PAC ID: 8123470234 Enrollment ID: I20240113000492 |
| Provider Name | Treasure Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609319037 PECOS PAC ID: 4981148442 Enrollment ID: I20240626001426 |
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Impact Physician Group, Ohio Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23333 Harvard Rd, Beachwood, OH 44122 Phone: 216-593-2200 | |
University Primary Care Practices Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Orange Pl Ste 2500, Beachwood, OH 44122 Phone: 216-383-6776 Fax: 216-383-6745 | |
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