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

Lakewood Hospital Professional Services

Organization Internal Medicine Physician · NPI 1619921681

Lakewood Hospital Professional Services is an Internal Medicine Physician in Cleveland, Ohio. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1730 W 25th St Ste 1100
Cleveland, OH 44113-3108
Phone: (216) 771-4455
Fax: (216) 241-1569
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1619921681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wiedt — Chief Executive Officer · (440) 895-5021
NPI enumeratedMay 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address20525 Center Ridge Rd, Suite 220, Rocky River, OH 44116-3437

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