| Mercy Health Physicians Lorain, Llc | |
|
3700 Kolbe Rd Lorain OH 44053-1611 | |
| (440) 988-1009 | |
| Not Available |
| Full Name | Mercy Health Physicians Lorain, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3700 Kolbe Rd, Lorain, Ohio |
| Authorized Official Name and Position | Olivia Dacre (CFO, MEDICAL GROUP) |
| Authorized Official Contact | 4192519650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Physicians Lorain, Llc 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: (440) 988-1009 | Mercy Health Physicians Lorain, Llc 3700 Kolbe Rd Lorain OH 44053-1611 Ph: (440) 988-1009 |
| NPI Number | 1023347192 |
|---|---|
| Provider Enumeration Date | 12/18/2009 |
| Last Update Date | 02/16/2021 |
| Medicare PECOS PAC ID | 1355474172 |
|---|---|
| Medicare Enrollment ID | O20100730000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023347192 | NPI | - | NPPES |
| 3025372 | Medicaid | OH |
| Provider Name | Michele L Ralofsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679539035 PECOS PAC ID: 7012821606 Enrollment ID: I20031118000351 |
| Provider Name | Tracy A Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962488130 PECOS PAC ID: 9335037373 Enrollment ID: I20040310000285 |
| Provider Name | Abdul T Razack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144294406 PECOS PAC ID: 3072402577 Enrollment ID: I20040312000725 |
| Provider Name | Joi M Robinson-tidmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053427385 PECOS PAC ID: 3476534785 Enrollment ID: I20040525000060 |
| Provider Name | Donald I Cho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750360822 PECOS PAC ID: 4880677301 Enrollment ID: I20040608000017 |
| Provider Name | Marcietta Renee Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801860572 PECOS PAC ID: 6901878628 Enrollment ID: I20040811001289 |
| Provider Name | Jose E Mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578533659 PECOS PAC ID: 6002883006 Enrollment ID: I20040910000259 |
| Provider Name | Jason M Robke |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841218955 PECOS PAC ID: 0648248187 Enrollment ID: I20040922000388 |
| Provider Name | Kamaleswary Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154391647 PECOS PAC ID: 1254374556 Enrollment ID: I20050608000039 |
| Provider Name | Lavinia M Cozmin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699749374 PECOS PAC ID: 4082650262 Enrollment ID: I20050629000131 |
| Provider Name | Jeffrey A Claridge |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497860381 PECOS PAC ID: 0749264547 Enrollment ID: I20050713000000 |
| Provider Name | Gregory Stuart Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629166004 PECOS PAC ID: 9638107816 Enrollment ID: I20050728001260 |
| Provider Name | Kashif Zehanet Khan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891768438 PECOS PAC ID: 8022036300 Enrollment ID: I20051104000411 |
| Provider Name | Karen L Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578543815 PECOS PAC ID: 3375564982 Enrollment ID: I20051212000166 |
| Provider Name | Leanne K Strack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982653432 PECOS PAC ID: 0547282196 Enrollment ID: I20051222000527 |
| Provider Name | Zenos Vangelos |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225097249 PECOS PAC ID: 2668364720 Enrollment ID: I20060928000005 |
| Provider Name | Caryn De Lisio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093800146 PECOS PAC ID: 3678570470 Enrollment ID: I20061108000213 |
| Provider Name | Robert L Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841353083 PECOS PAC ID: 2365442027 Enrollment ID: I20070102000352 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740267244 PECOS PAC ID: 6608847595 Enrollment ID: I20070123000217 |
| Provider Name | Cristal D Tomblin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851508097 PECOS PAC ID: 3274507371 Enrollment ID: I20070731000005 |
| Provider Name | Joseph William George |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700084795 PECOS PAC ID: 1355432071 Enrollment ID: I20070810000074 |
| Provider Name | Balaji Saravanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538351358 PECOS PAC ID: 0345336293 Enrollment ID: I20071023000714 |
| Provider Name | Stephen A D'abreau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336123892 PECOS PAC ID: 5496844227 Enrollment ID: I20071203000089 |
| Provider Name | Janice M Calfee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811167570 PECOS PAC ID: 2961588694 Enrollment ID: I20080321000004 |
| Provider Name | James K. Matheson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023095726 PECOS PAC ID: 7012093230 Enrollment ID: I20080327000454 |
| Provider Name | Newton P Muthunayagam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043367105 PECOS PAC ID: 3476624396 Enrollment ID: I20080620000380 |
| Provider Name | Israel J Cajigas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164694758 PECOS PAC ID: 5698834000 Enrollment ID: I20081030000020 |
| Provider Name | Heather R Scullin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285608539 PECOS PAC ID: 6204997448 Enrollment ID: I20081208000010 |
| Provider Name | Anant Jeet |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790759900 PECOS PAC ID: 4385706068 Enrollment ID: I20081215000770 |
| Provider Name | Kathleen Marie Malear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881831311 PECOS PAC ID: 9638234164 Enrollment ID: I20090218000097 |
| Provider Name | Lleowell M Garcia |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669520912 PECOS PAC ID: 0244389385 Enrollment ID: I20090520000659 |
| Provider Name | Joseph Lowry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457521494 PECOS PAC ID: 5991734030 Enrollment ID: I20090810000322 |
| Provider Name | Ashok P Makadia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013912211 PECOS PAC ID: 0345399077 Enrollment ID: I20090921000415 |
| Provider Name | Dimitra Servetas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174723951 PECOS PAC ID: 0244386829 Enrollment ID: I20090923000461 |
| Provider Name | Rashmi Shekhawat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073617130 PECOS PAC ID: 2365519998 Enrollment ID: I20090925000424 |
| Provider Name | Craig Recko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578783486 PECOS PAC ID: 4587700828 Enrollment ID: I20090930000211 |
| Provider Name | Niyati Pankaj Sheth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508063090 PECOS PAC ID: 3577609817 Enrollment ID: I20090930000221 |
| Provider Name | Nicole E Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417187857 PECOS PAC ID: 4183760788 Enrollment ID: I20091013000468 |
| Provider Name | Victor P Strimbu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174531404 PECOS PAC ID: 8628965993 Enrollment ID: I20100226000406 |
| Provider Name | Christopher A Haas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073502720 PECOS PAC ID: 3072590025 Enrollment ID: I20100304000292 |
| Provider Name | Mehrun Elyaderani |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1235147604 PECOS PAC ID: 5698662948 Enrollment ID: I20100311000291 |
| Provider Name | Conjeevaram B Maheshwer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588672851 PECOS PAC ID: 1456496728 Enrollment ID: I20100311000328 |
| Provider Name | Manuel Andres Martinez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497763890 PECOS PAC ID: 4789571050 Enrollment ID: I20100311000346 |
| Provider Name | Raymond Louis Horwood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437167871 PECOS PAC ID: 4183511439 Enrollment ID: I20100311000462 |
| Provider Name | Jeffrey J Roberts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679581060 PECOS PAC ID: 8820985179 Enrollment ID: I20100315000579 |
| Provider Name | Irwin Michael Mandel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245248558 PECOS PAC ID: 1759417934 Enrollment ID: I20100326000470 |
| Provider Name | Michael Minyoung Lew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619985090 PECOS PAC ID: 5395632665 Enrollment ID: I20100326000512 |
| Provider Name | Gale A Hazen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265480370 PECOS PAC ID: 6800922592 Enrollment ID: I20100406000179 |
| Provider Name | Heidi Danielle Lencoski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174706170 PECOS PAC ID: 8729114327 Enrollment ID: I20100408000256 |
| Provider Name | James John Andrasko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700850534 PECOS PAC ID: 5193745438 Enrollment ID: I20100504000306 |
| Provider Name | Kurt H Dinchman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639168552 PECOS PAC ID: 1355328303 Enrollment ID: I20100511000362 |
| Provider Name | Richard B White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164637609 PECOS PAC ID: 8426194754 Enrollment ID: I20100525000068 |
| Provider Name | Edward J Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770595894 PECOS PAC ID: 1456480615 Enrollment ID: I20100526000399 |
| Provider Name | Ronald Carissimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407068703 PECOS PAC ID: 6103956305 Enrollment ID: I20100615000468 |
| Provider Name | Alok K Jain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811190382 PECOS PAC ID: 7012068836 Enrollment ID: I20100625000041 |
| Provider Name | Lanla F Conteh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497964399 PECOS PAC ID: 7517098544 Enrollment ID: I20100708000233 |
| Provider Name | Dhruv Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699740613 PECOS PAC ID: 0143352690 Enrollment ID: I20100719000435 |
| Provider Name | Kathy Ann Dalzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902866148 PECOS PAC ID: 2668596743 Enrollment ID: I20100825001206 |
| Provider Name | Jesse Ellis Templeton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790974350 PECOS PAC ID: 6901959519 Enrollment ID: I20100909000272 |
| Provider Name | Paul Joseph Murry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205802238 PECOS PAC ID: 2264557800 Enrollment ID: I20100920000290 |
| Provider Name | Rita A Abbud |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740256734 PECOS PAC ID: 0648395236 Enrollment ID: I20100920000948 |
| Provider Name | Tarek Ali Dbouk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215114913 PECOS PAC ID: 1951593573 Enrollment ID: I20101014000087 |
| Provider Name | Lisa M Trockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427368042 PECOS PAC ID: 8123212172 Enrollment ID: I20101103000796 |
| Provider Name | Deon Regis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972837722 PECOS PAC ID: 3678755691 Enrollment ID: I20110314000133 |
| Provider Name | Tamer H Said |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629243449 PECOS PAC ID: 2860670247 Enrollment ID: I20110707000508 |
| Provider Name | Wes J Holiday |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699982975 PECOS PAC ID: 0042354516 Enrollment ID: I20110811000726 |
| Provider Name | Mita S Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780837880 PECOS PAC ID: 3678749017 Enrollment ID: I20120105000782 |
| Provider Name | Melinda D Riedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508125469 PECOS PAC ID: 5395908446 Enrollment ID: I20120529000588 |
| Provider Name | Nimitt J Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770896045 PECOS PAC ID: 6406034560 Enrollment ID: I20120628000542 |
| Provider Name | Joseph F Golob |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912108606 PECOS PAC ID: 9739335142 Enrollment ID: I20120816000916 |
| Provider Name | Joanne Holiday |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023209244 PECOS PAC ID: 7315196482 Enrollment ID: I20121004000542 |
| Provider Name | Charles R Wehbe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992918593 PECOS PAC ID: 9830348697 Enrollment ID: I20121011000333 |
| Provider Name | Halee A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932448784 PECOS PAC ID: 4688800964 Enrollment ID: I20131114000959 |
| Provider Name | Ania T Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386070944 PECOS PAC ID: 5395971410 Enrollment ID: I20131120001010 |
| Provider Name | Dawn Marie Gibson-owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316375959 PECOS PAC ID: 8921234527 Enrollment ID: I20131203001197 |
| Provider Name | Philip R Cataline |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720387392 PECOS PAC ID: 2567691603 Enrollment ID: I20140212001093 |
| Provider Name | Sunjay N Mathur |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1093045346 PECOS PAC ID: 6103040795 Enrollment ID: I20140623001392 |
| Provider Name | Hicham Khallafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669640165 PECOS PAC ID: 3870656994 Enrollment ID: I20140707001242 |
| Provider Name | Laura A Kreiner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922353168 PECOS PAC ID: 9234371063 Enrollment ID: I20140710000525 |
| Provider Name | Amber L Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093984361 PECOS PAC ID: 5597982819 Enrollment ID: I20140811001563 |
| Provider Name | Summer Holmes Mason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437473360 PECOS PAC ID: 1951528744 Enrollment ID: I20140819002020 |
| Provider Name | Stephanie M Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992107338 PECOS PAC ID: 1557357464 Enrollment ID: I20140919001514 |
| Provider Name | Sara M Beldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013322643 PECOS PAC ID: 5092936880 Enrollment ID: I20141020002093 |
| Provider Name | Peter B Letarte |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568579688 PECOS PAC ID: 6305160912 Enrollment ID: I20150129002463 |
| Provider Name | Krystal Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750770244 PECOS PAC ID: 4385960541 Enrollment ID: I20150305001039 |
| Provider Name | Amanda Lane Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538556626 PECOS PAC ID: 2466771936 Enrollment ID: I20150505000944 |
| Provider Name | Joni Lyn Ruffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245623230 PECOS PAC ID: 2466772744 Enrollment ID: I20150528000967 |
| Provider Name | Manaf Zaizafoun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174787972 PECOS PAC ID: 2365516481 Enrollment ID: I20150812008390 |
| Provider Name | Kimberly Jean Bundridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073993317 PECOS PAC ID: 1557676962 Enrollment ID: I20150813011913 |
| Provider Name | Muawia Abushukur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720297211 PECOS PAC ID: 0143395962 Enrollment ID: I20150918000707 |
| Provider Name | Kelli M Pittak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831568658 PECOS PAC ID: 4385953884 Enrollment ID: I20151023001476 |
| Provider Name | Andrea Rolando Frye Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528218716 PECOS PAC ID: 7012079668 Enrollment ID: I20160406001608 |
| Provider Name | Patrick C Beeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497066112 PECOS PAC ID: 8527296532 Enrollment ID: I20160601000433 |
| Provider Name | Garren J Decaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326381682 PECOS PAC ID: 1850524802 Enrollment ID: I20160803002363 |
| Provider Name | Gustavo Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699031088 PECOS PAC ID: 3173759974 Enrollment ID: I20160920000510 |
| Provider Name | Nicole Maddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548719487 PECOS PAC ID: 3375822307 Enrollment ID: I20161116000436 |
| Provider Name | Rami Abboud |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487854972 PECOS PAC ID: 0840322665 Enrollment ID: I20170117001981 |
| Provider Name | Beatrice Cardona Weese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104210715 PECOS PAC ID: 8022312941 Enrollment ID: I20170222002287 |
| Provider Name | Amanda Dacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114470986 PECOS PAC ID: 6002192606 Enrollment ID: I20170414000121 |
| Provider Name | Christopher Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710410444 PECOS PAC ID: 7911283296 Enrollment ID: I20170421001182 |
| Provider Name | Timothy Odonnell |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760485510 PECOS PAC ID: 6305879875 Enrollment ID: I20170427002106 |
| Provider Name | John P Gerhard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407135494 PECOS PAC ID: 5799904405 Enrollment ID: I20170523002649 |
| Provider Name | Elana Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376070706 PECOS PAC ID: 9436427119 Enrollment ID: I20170621002448 |
| Provider Name | Gokulakrishnan Balasubramanian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104079177 PECOS PAC ID: 8628225042 Enrollment ID: I20170713000909 |
| Provider Name | Patricia A Yost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770550428 PECOS PAC ID: 2668474792 Enrollment ID: I20170817003608 |
| Provider Name | Melissa Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194247833 PECOS PAC ID: 8123390333 Enrollment ID: I20170823002464 |
| Provider Name | Mary Esho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598171951 PECOS PAC ID: 2668747460 Enrollment ID: I20171004001799 |
| Provider Name | Adjondi Born |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396111597 PECOS PAC ID: 8921374604 Enrollment ID: I20171024003397 |
| Provider Name | Angel Marie Delphia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345511 PECOS PAC ID: 1951362656 Enrollment ID: I20171115003329 |
| Provider Name | Patricia Ann Hackenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801394085 PECOS PAC ID: 6002179520 Enrollment ID: I20180416002668 |
| Provider Name | Nicole Marie Soptelean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912410903 PECOS PAC ID: 9335402536 Enrollment ID: I20180423001721 |
| Provider Name | Adefunke Adedipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114313590 PECOS PAC ID: 0446550644 Enrollment ID: I20180730003350 |
| Provider Name | Audra Zayas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235618372 PECOS PAC ID: 1052661543 Enrollment ID: I20180904002169 |
| Provider Name | Cristen Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215418256 PECOS PAC ID: 7911257969 Enrollment ID: I20180912001972 |
| Provider Name | Elizabeth Frantz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437453529 PECOS PAC ID: 8628252814 Enrollment ID: I20180924001787 |
| Provider Name | Chad W Katona |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760703334 PECOS PAC ID: 5395982961 Enrollment ID: I20181003003198 |
| Provider Name | Jenna M Rehmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326452319 PECOS PAC ID: 5799904892 Enrollment ID: I20181213001968 |
| Provider Name | Jennifer A Mize |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457836405 PECOS PAC ID: 0042555369 Enrollment ID: I20181214000899 |
| Provider Name | Nicoletto Bolzan-roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770050049 PECOS PAC ID: 1658617337 Enrollment ID: I20190117000864 |
| Provider Name | Leslie A Strodtbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003384207 PECOS PAC ID: 2264778877 Enrollment ID: I20190117002484 |
| Provider Name | Derik Sidell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942766241 PECOS PAC ID: 4880933845 Enrollment ID: I20190308002074 |
| Provider Name | Ahmed Shahata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871060608 PECOS PAC ID: 3779824461 Enrollment ID: I20190405001837 |
| Provider Name | Joshua Ryan King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134687536 PECOS PAC ID: 0749522423 Enrollment ID: I20190429001931 |
| Provider Name | William T Walsh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871910497 PECOS PAC ID: 8426381708 Enrollment ID: I20190603000123 |
| Provider Name | Allison P Ringle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194386169 PECOS PAC ID: 4981939568 Enrollment ID: I20190718002855 |
| Provider Name | Peter A Zmijewski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508109240 PECOS PAC ID: 5294037867 Enrollment ID: I20190726000960 |
| Provider Name | Taneesha Marie Resar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689232324 PECOS PAC ID: 2961738828 Enrollment ID: I20190730003156 |
| Provider Name | Elizabeth Marie Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780245274 PECOS PAC ID: 5294061073 Enrollment ID: I20190731003988 |
| Provider Name | Scott Edward Reisinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851890297 PECOS PAC ID: 5395072078 Enrollment ID: I20190805001552 |
| Provider Name | Alaina M Lasinski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124361118 PECOS PAC ID: 7719282250 Enrollment ID: I20190830002021 |
| Provider Name | Jovana K Spreitzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700116159 PECOS PAC ID: 8224260500 Enrollment ID: I20190904001871 |
| Provider Name | Sharon Mae Choma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386143386 PECOS PAC ID: 8325379712 Enrollment ID: I20191016002102 |
| Provider Name | Melisa Ann Janosik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114128345 PECOS PAC ID: 1355673591 Enrollment ID: I20191021003431 |
| Provider Name | Elizabeth A Shelley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487031456 PECOS PAC ID: 3971815655 Enrollment ID: I20191106003375 |
| Provider Name | Charlene M Skorvanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598300451 PECOS PAC ID: 3173957115 Enrollment ID: I20191226002274 |
| Provider Name | Jill Marie Langhals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982240842 PECOS PAC ID: 2264868405 Enrollment ID: I20200205002884 |
| Provider Name | Subhankar Chakraborty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851685812 PECOS PAC ID: 1850515081 Enrollment ID: I20200226001587 |
| Provider Name | Manuel Cortes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861898801 PECOS PAC ID: 8325333719 Enrollment ID: I20200229000147 |
| Provider Name | Heather Ann Bruderer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689149189 PECOS PAC ID: 9739433921 Enrollment ID: I20200318000869 |
| Provider Name | Jerome Chelliah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013371046 PECOS PAC ID: 8224390398 Enrollment ID: I20200626001787 |
| Provider Name | Samuel Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003177304 PECOS PAC ID: 8325261829 Enrollment ID: I20200630001918 |
| Provider Name | Valerie Nemeth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730614322 PECOS PAC ID: 4183961154 Enrollment ID: I20200702001922 |
| Provider Name | Valeria Z Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598381600 PECOS PAC ID: 1355764374 Enrollment ID: I20200709002631 |
| Provider Name | Steven John Cotman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568881332 PECOS PAC ID: 2567797012 Enrollment ID: I20200713000612 |
| Provider Name | Justin Dvorak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558704130 PECOS PAC ID: 3870894330 Enrollment ID: I20200803002556 |
| Provider Name | Patrick Maluso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952667289 PECOS PAC ID: 3971936105 Enrollment ID: I20200813003524 |
| Provider Name | Laura Lynn Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992311666 PECOS PAC ID: 7214357698 Enrollment ID: I20201023002276 |
| Provider Name | Elizabeth Ann Carek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629661228 PECOS PAC ID: 2163838723 Enrollment ID: I20210304002365 |
| Provider Name | Rebecca Suit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605003 PECOS PAC ID: 1254625528 Enrollment ID: I20210318001065 |
| Provider Name | Heidi Sue Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174123335 PECOS PAC ID: 2365859303 Enrollment ID: I20210318001747 |
| Provider Name | Brenna Jean Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871172643 PECOS PAC ID: 2264840891 Enrollment ID: I20210421000868 |
| Provider Name | Matthew Madison Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659952570 PECOS PAC ID: 9537569371 Enrollment ID: I20210615002812 |
| Provider Name | Francis Joseph Moorhead |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255445664 PECOS PAC ID: 3173411659 Enrollment ID: I20210624003543 |
| Provider Name | Theresa A Repko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194314005 PECOS PAC ID: 1254733215 Enrollment ID: I20210713002712 |
| Provider Name | Emily L Lanzola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831687888 PECOS PAC ID: 3678824141 Enrollment ID: I20210720002979 |
| Provider Name | Sleiman Saher Abukhater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366930927 PECOS PAC ID: 2163825563 Enrollment ID: I20210722002379 |
| Provider Name | David Barron |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235491440 PECOS PAC ID: 8022360841 Enrollment ID: I20210916001921 |
| Provider Name | Caroline Just |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437722584 PECOS PAC ID: 1153728936 Enrollment ID: I20210921002280 |
| Provider Name | Mariam E Henderson-rucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760015341 PECOS PAC ID: 3274921093 Enrollment ID: I20211028000853 |
| Provider Name | Rachel Lynn Lydy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881357325 PECOS PAC ID: 7113316324 Enrollment ID: I20211109002718 |
| Provider Name | William Ghee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780705194 PECOS PAC ID: 6406893171 Enrollment ID: I20211118000352 |
| Provider Name | Amber Diane Casbohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487317780 PECOS PAC ID: 7012307705 Enrollment ID: I20211213001600 |
| Provider Name | Bailey Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982357430 PECOS PAC ID: 5395125223 Enrollment ID: I20220708002075 |
| Provider Name | Kevin Alan Degroot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790279495 PECOS PAC ID: 7618227034 Enrollment ID: I20221129003118 |
| Provider Name | Jeffrey T Landers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477501104 PECOS PAC ID: 0042217812 Enrollment ID: I20230125003191 |
| Provider Name | Bushra Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093335200 PECOS PAC ID: 3476976580 Enrollment ID: I20230907004205 |
| Provider Name | Joshua A Muetzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013396670 PECOS PAC ID: 0547573115 Enrollment ID: I20231211002054 |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6150 Park Square Dr., Lorain, OH 44053 Phone: 440-240-1655 Fax: 440-240-1655 | |
F.e. Yuzon, M.d. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3885 Oberlin Ave, Lorain, OH 44053 Phone: 440-282-5100 Fax: 440-282-1302 | |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 Grove Ave., Lorain, OH 44055 Phone: 440-240-1655 Fax: 440-240-1663 | |
Liwanag Asuncion M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 Kansas Ave, Lorain, OH 44052 Phone: 440-288-1216 | |
Abdul T Razack M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Kolbe Rd, Suite 221, Lorain, OH 44053 Phone: 440-960-2718 Fax: 440-960-5633 | |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 Broadway Ave., Lorain, OH 44052 Phone: 440-240-1655 Fax: 440-233-0194 |