Lake Obstetrics and Gynecology, Inc
NPI 1811950447ActiveOrganization· Obstetrics & Gynecology· Mentor, OH
Obstetrics & Gynecology in Mentor, Ohio, registered in NPPES in April 2006. The authorized official on file is Susanna Bowman, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811950447 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2006 |
| Last updated in NPPES | Aug 7, 2025 |
| Certified by provider | Aug 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other Obstetrics & Gynecology providers in Mentor
- 1710207329
- 1245367028
- 1457488207
- 1497850622
- 1700842812
- 1750709150
- 1679679005
- 1932162237
- 1568430296
- 1093778300
- 1366534703
- 1043229503