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 1134189376

Lake Hospital System, Inc is a Family Medicine Physician in Madison, Ohio. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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

6270 N Ridge Rd
Madison, OH 44057-2567
Phone: (440) 428-8256
Fax: (440) 417-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1134189376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Cfo · (440) 354-1953
Other names Lake Health Urgent Care And Walk In Center
NPI enumeratedMarch 23, 2006
Last updated in NPPESFebruary 15, 2017
Mailing addressPo Box 781348, Detroit, MI 48278-4110

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