PRIMEHEALTH SPORTS MEDICINE
NPI 1639315062
Family Medicine - Sports Medicine in Willowick, OH

NPI Status: Active since January 07, 2009

Contact Information

29804 LAKESHORE BLVD
WILLOWICK, OH
ZIP 44095
Phone: (440) 354-1899
Fax: (440) 354-1089

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  • Organization
  • Family Medicine
  • Sports Medicine

About PRIMEHEALTH SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Primehealth Sports Medicine, a primary care provider established in Willowick, Ohio operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1639315062 assigned on January 2009. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Primehealth Sports Medicine. The authorized official of this NPI record is Robert Tracz (Chief Financial Officer)

NPI
1639315062
Provider Legal Name
LAKE HOSPITAL SYSTEM, INC.
Other Organization Name
PRIMEHEALTH SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
29804 LAKESHORE BLVD WILLOWICK, OH 44095
Location Phone
(440) 354-1899
Location Fax
(440) 354-1089
Mailing Address
PO BOX 714328 COLUMBUS, OH 43271
Mailing Phone
(800) 354-1985
Mailing Fax
(440) 354-1089
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2009
Last Update Date
01-07-2009
Code Navigator

A primary care provider (PCP) like Primehealth Sports Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT TRACZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(440) 354-1642

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639315062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26696110012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 1 + 1 + 0 + 0 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1639315062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326141987LAKE HOSPITAL SYSTEM
Organization
Family Medicine29804 LAKESHORE BLVD
WILLOWICK, OH 44095
(440) 833-2095
1710092267DR. GWEN H HAAS MD
Individual
Family Medicine29804 LAKESHORE BLVD
WILLOWICK, OH 44095
(440) 833-2095
1174813638 BRITT CONROY MD, PHD
Individual
Family Medicine29804 LAKESHORE BLVD
WILLOWICK, OH 44095
(440) 833-2095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639315062, enumerated in the NPI registry as an "organization" on January 07, 2009

The provider is located at 29804 Lakeshore Blvd Willowick, Oh 44095 and the phone number is (440) 354-1899

This medical organization specializes in Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine

This NPI record was last updated on January 07, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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