Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Hospital System Inc

Organization Family Medicine Physician · NPI 1538101985

Lake Hospital System Inc provides Family Medicine Physician services in Chardon, Ohio. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

510 Fifth Ave
Chardon, OH 44024 Not confirmed with CMS for 19 years — call before visiting
Phone: (440) 279-1528
Fax: (440) 279-1516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1538101985
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Hospital System, Inc
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1051
Other names Primehealth Chardon Family Practice
NPI enumeratedJune 11, 2006
Last updated in NPPESSeptember 6, 2007
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Chardon