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

Dr. Nicholas Walter Detore, MD

Individual provider Internal Medicine Physician · NPI 1942438197

Dr. Nicholas Walter Detore, MD is an Internal Medicine in Mentor, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2009, 17 years ago. Practices with Lake Hospital System, Inc, a 94-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
17
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9485 Mentor Ave Ste 210
Mentor, OH 44060-4597
Phone: (440) 205-5892
Fax: (440) 205-5744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.098967 (OH)

Record details

NPI number1942438197
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2009
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Lake Hospital System, Inc. — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Mentor