Provider Demographics
NPI:1952302721
Name:LOCKHART, CURTIS MAJOR (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:MAJOR
Last Name:LOCKHART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:29101 HEALTH CAMPUS DR
Mailing Address - Street 2:BUILDING 2 SUITE 155
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5270
Mailing Address - Country:US
Mailing Address - Phone:440-892-5794
Mailing Address - Fax:440-892-5798
Practice Address - Street 1:29101 HEALTH CAMPUS DR
Practice Address - Street 2:BUILDING 2 SUITE 155
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5270
Practice Address - Country:US
Practice Address - Phone:440-892-5794
Practice Address - Fax:440-892-5798
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35061982208600000X
OH35-06-19822086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH770001777OtherRR MEDICARE #
OH2272820Medicaid
OH0994110001OtherDMERC #
OH34-1853963A11OtherANTHEM #
OH0938196Medicaid
OH0938196Medicaid
OHX52138Medicare UPIN
OH2272820Medicaid