GREAT LAKES MEDICAL CENTER PC (NPI# 1508955816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508955816 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES MEDICAL CENTER PC |
| Practice Address |
27500 Hoover Rd Warren MI 48093-4586 |
| Mailing Address |
33006 7 Mile Rd #176 Livonia MI 48152-1358 |
| Practice Telephone | 5864274453 |
| Practice Fax Number | 5864275573 |
| Mailing Telephone | 5864274453 |
| Mailing Fax Number | 5864275573 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA H. STARR (DIRECTOR) |
| Authorized Official Telephone | 3175988880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
27500 HOOVER RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508819475 | Great Lakes Seniors PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-05-19 |
| 1245574920 | Gi Health & Wellnes PC | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093-4586 | 2012-11-19 |
| 1619242179 | Daniel L Jensen D O P L L C | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2012-03-16 |
| 1043535990 | Bi County Clinical Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Suite 100, Warren, MI 48093-4586 | 2010-04-05 |
| 1942524624 | Bi County Medical Practices | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093-4586 | 2010-03-24 |
| 1225369838 | Southeastern Gastroenterology Associates P.C. | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093 | 2010-01-21 |
| 1851589584 | Louis L Rondini Do Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Suite 100, Warren, MI 48093-4586 | 2007-10-09 |
| 1124213921 | Bi County Clinical Practices | Surgery | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2007-09-14 |
| 1326230236 | Daniel Loran Jensen | Surgery | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2007-08-14 |
| 1609817410 | Dr. Richard Colman Do Pllc | Obstetrics & Gynecology | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1922512151 | Quality Revenue Services LLC | Specialist | 22815 Hillock Ave, Warren, MI 48089-5418 | 2017-11-27 |
| 1730441148 | Deborah Fixell | Specialist | 163 Town Hill Rd, Warren, CT 06754-1809 | 2012-06-12 |
| 1083991335 | Ashok K Aggarwal Md | Specialist | 4439 Mahoning Ave Nw Ste B, Warren, OH 44483-1975 | 2011-11-14 |
| 1447569447 | C Gary Loosli | Specialist | 57755 Old Portland Rd, Warren, OR 97053-9411 | 2010-09-25 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1528236106 | Electrical Workers Joint Board of Trustees | Specialist | 2277 E 11 Mile Rd, Suite Number 2, Warren, MI 48092-5217 | 2008-02-15 |
| 1841492709 | Center for Weight Management | Specialist | 13355 E. Ten Mile Rd., Suite Chm, Warren, MI 48089-2065 | 2007-06-04 |
| 1205853215 | Jareer S Hmoud | Specialist | 13430 E 13 Mile Rd, Warren, MI 48088-3187 | 2006-07-16 |
| 1508819475 | Great Lakes Seniors PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-05-19 |
| Find all providers in WARREN | ||||
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| 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.