Emergency Medicine Physicians of Lake County Ltd
NPI 1154763944ActiveOrganization· Emergency Medicine· Willoughby, OH
Emergency Medicine in Willoughby, Ohio, registered in NPPES in July 2013. The authorized official on file is David Charles Packo, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154763944 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2013 |
| Last updated in NPPES | Jul 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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