GLEC PLLC (NPI# 1528091360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528091360 |
| Entity Type | Organization |
| Organization Name | GLEC PLLC |
| Other Organization Name | GREAT LAKES ENDOSCOPY CENTER |
| Practice Address |
3903 Hollywood Rd Saint Joseph MI 49085-9149 |
| Practice Telephone | 2694081100 |
| Practice Fax Number | 2694081329 |
| Mailing Telephone | 2694081100 |
| Mailing Fax Number | 2694081329 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-08-06 |
| Authorized Official Name | MS. JUSTINE B CORDAY (CHIEF DEVELOPMENT OFFICER) |
| Authorized Official Telephone | 2149539365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Great Lakes Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
3903 HOLLYWOOD RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546869 | Rickey L Snipes | Internal Medicine | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2005-08-31 |
| 1548548084 | Jennifer A Benson | Physician Assistant | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2011-08-02 |
| 1003083627 | Thomas Ryan Birris | Internal Medicine | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2008-05-13 |
| 1295747525 | William T Makovic II | Physician Assistant | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2006-08-13 |
| 1396757639 | Olga M Gashugi | Nurse Practitioner | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2006-08-13 |
| 1780691899 | Great Lakes Gastroenterology Pllc | Internal Medicine | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2006-08-02 |
| 1992798391 | Ather M Bukhari | Internal Medicine | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2005-08-31 |
| 1619960010 | Lawrence B Damiani | Internal Medicine | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2005-08-31 |
| 1275526675 | Bruce A Jones | Internal Medicine | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531263 | Heartland Clinic | Clinic/Center | 901 Heartland Rd, Plaza II Suite 1810, Saint Joseph, MO 64506-6200 | 2006-05-03 |
| 1316906423 | Tobin Eye Institute | Clinic/Center | 3902 Sherman Ave, Saint Joseph, MO 64506-3648 | 2006-03-20 |
| 1992706295 | Novamed Surgery Center of St. Joseph, LLC | Clinic/Center | 3201 Ashland Ave, Saint Joseph, MO 64506-1504 | 2005-08-09 |
| 1417493545 | Lakeland Medical Practices | Clinic/Center | 2990 Niles Rd, Saint Joseph, MI 49085-8607 | 2017-01-12 |
| 1780847350 | Professional Anesthesia Services LLC | Clinic/Center | 2111 N Woodbine Rd, Saint Joseph, MO 64506-2440 | 2008-07-03 |
| 1437259694 | Heartland Regional Medical Center | Clinic/Center | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2006-09-25 |
| 1104857523 | Surgery Center of St. Joseph, LLC | Clinic/Center | 3201 Ashland Ave, Saint Joseph, MO 64506-1504 | 2006-07-05 |
| 1891759569 | St Joseph Center for Outpatient Surgery, LLC | Clinic/Center | 4510 Frederick Ave, Saint Joseph, MO 64506-3238 | 2006-04-12 |
| 1508862996 | Plastic Surgery Center of St Joseph, Inc | Clinic/Center | 2111 N Woodbine Rd, Saint Joseph, MO 64506-2440 | 2005-06-22 |
| 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 | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on GLEC PLLC.
| 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.