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

Erieside Medical Group

Organization Family Medicine Physician · NPI 1891751657

Erieside Medical Group is a Family Medicine Physician in Willoughby, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
4

Practice location Address checks out

38429 Lake Shore Blvd
Willoughby, OH 44094-7009
Phone: (440) 946-9200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-052285D (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35-06-5285H (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 34-003413F (OH)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 35-06-1390M

Record details

NPI number1891751657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Winston Ho — President · (440) 269-7483
NPI enumeratedApril 21, 2006
Last updated in NPPESJune 10, 2010
Mailing address38429 Lake Shore Blvd, Willoughby, OH 44094-7009

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