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

Individual provider Physician Assistant · NPI 1861542086

Michael C Peterson, PA-C is a Physician Assistant in Mentor, Ohio. Qualified in 2006, 20 years ago. Practices with Lake Hospital System, Inc, a 94-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
20
Licensed in
OH
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Lhpg Mentor Family Practice 8655 Market St
Mentor, OH 44060
Phone: (440) 255-7938
Fax: (440) 255-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5266 State Route 45, Rome, OH 44085-9404 — (440) 563-5028

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50002538 (OH)

Record details

NPI number1861542086
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021
Mailing address8655 Market Street, Mentor, OH 44060-9404

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lake Hospital System, Inc. — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mentor