GREAT LAKES SURGICAL CENTER, LLC (NPI# 1265856231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265856231 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES SURGICAL CENTER, LLC |
| Practice Address |
26051 Lahser Rd Southfield MI 48033-2601 |
| Practice Telephone | 2482239925 |
| Mailing Telephone | 2482239925 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |
| Authorized Official Name | KEITH METZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2482239925 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1010000049 | MI | Ambulatory Health Care Facilities |
| Street Address |
26051 LAHSER RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568420388 | Great Lakes Surgical Center LLC | Clinic/Center | 26051 Lahser Rd, Southfield, MI 48034-2601 | 2006-05-02 |
| 1346356458 | Michael Bernard | Anesthesiology | 26051 Lahser Rd, Southfield, MI 48034-2601 | 2006-08-22 |
| 1609982719 | James A Livermore | Anesthesiology | 26051 Lahser Rd, Southfield, MI 48034-2601 | 2006-08-22 |
| 1063528172 | Leslie A Mumaw | Anesthesiology | 26051 Lahser Rd, Southfield, MI 48034-2601 | 2006-08-22 |
| 1053353847 | Great Lakes Surgical Center Anesthesia, Plc | Anesthesiology | 26051 Lahser Rd, Southfield, MI 48034-2601 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685415 | Southfield Surgery Center LLC | Clinic/Center | 26225 Greenfield Road, Southfield, MI 48076-4704 | 2019-02-12 |
| 1467624379 | G&m Management | Clinic/Center | 20240 W 12 Mile Rd, Southfield, MI 48076-2426 | 2008-03-31 |
| 1568420388 | Great Lakes Surgical Center LLC | Clinic/Center | 26051 Lahser Rd, Southfield, MI 48034-2601 | 2006-05-02 |
| 1639541303 | Surgical Center of Southfield LLC | Clinic/Center | 29110 Inkster Rd, Suite 100, Southfield, MI 48034-1098 | 2015-10-21 |
| 1538470505 | M-avis Healthcare Management Service Group LLC | Clinic/Center | 20240 W 12 Mile Rd, Southfield, MI 48076-2426 | 2010-06-24 |
| 1366574410 | New Millennium Surgery Center, Pllc | Clinic/Center | 29201 Telegraph Rd, Suite 315, Southfield, MI 48034-1331 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on GREAT LAKES SURGICAL CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.