Lake Health Physician Group Vascular Access Surgery – Vascular Surgery Physician, NPI 1124255278

Lake Health Physician Group Vascular Access Surgery is a healthcare provider. based in Columbus, Ohio. specializing in Vascular Surgery Physician. The NPI Number for Lake Health Physician Group Vascular Access Surgery is 1124255278

Main info

Organization
Name
Lake Health Physician Group Vascular Access Surgery
NPI
1124255278
Phone
(440) 354-1899
Address
PO BOX 714328
Authorized Official
RICHARD D CICERO SR. VP, BUSINESS DEVELOPMENT
Enumeration Date
16 June 2009
Last Update Date
25 April 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness80
Years active:16State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Lake Health Physician Group Vascular Access Surgery

  • Box Road, Boxwood Estates, Columbus, Muscogee County, Georgia, 31907, United States

    COLUMBUS, OH 432714328

    Phone: (440) 354-1899

    Fax: (440) 354-1089

    Type: Mailing

  • 36001, Euclid Avenue, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States

    B-3

    WILLOUGHBY, OH 440944643

    Phone: (440) 953-1898

    Fax: (440) 953-9296

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43271)

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Reviews

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Frequently asked questions

What number should I use to identify Lake Health Physician Group Vascular Access Surgery for billing?
Administrative and clinical systems typically use NPI 1124255278 for Lake Health Physician Group Vascular Access Surgery.
Does the public listing show Lake Health Physician Group Vascular Access Surgery as active?
Lake Health Physician Group Vascular Access Surgery's NPI record reflects an active status in NPPES.
How should patients interpret Lake Health Physician Group Vascular Access Surgery's specialty?
The extract shows Vascular Surgery Physician for Lake Health Physician Group Vascular Access Surgery. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Lake Health Physician Group Vascular Access Surgery?
Lake Health Physician Group Vascular Access Surgery is associated with Columbus, Ohio in the same public data insurers reference.
Can I export Lake Health Physician Group Vascular Access Surgery's record?
You can download the official NPPES record; we summarize key fields for readability.

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