GREAT LAKES MEDICAL SERVICES LLC (NPI# 1922248863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922248863 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES MEDICAL SERVICES LLC |
| Practice Address |
25660 Dixie Hwy Perrysburg OH 43551-2167 |
| Practice Telephone | 4198725343 |
| Practice Fax Number | 4198727464 |
| Mailing Telephone | 4198725343 |
| Mailing Fax Number | 4198727464 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |
| Authorized Official Name | EVAN KYLE PRUETER (PRESIDENT) |
| Authorized Official Telephone | 4198725343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184705121 | Great Lakes Medical Services LLC | Clinic/Center | 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 2006-10-18 |
| 1326152091 | Great Lakes Medical Services LLC | Clinic/Center | 1021 Sandusky St, Ste C, Perrysburg, OH 43551 | 2006-08-18 |
| Street Address |
25660 DIXIE HWY |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184705121 | Great Lakes Medical Services LLC | Clinic/Center | 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 2006-10-18 |
| 1417379611 | Jill Frances Swanson | Nurse Practitioner | 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 2014-01-08 |
| 1770761272 | Great Lakes Nursing LLC | Home Health | 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477857399 | Mobile Wheelchair Service | Durable Medical Equipment & Medical Supplies | 1931 Whispering Way, Perrysburg, OH 43551-6915 | 2011-01-06 |
| 1245408327 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 10392 Fremont Pike, Perrysburg, OH 43551-3335 | 2008-02-12 |
| 1023167269 | Rudey Opticians, Inc. | Durable Medical Equipment & Medical Supplies | 152 W South Boundary St, Perrysburg, OH 43551-1754 | 2007-01-09 |
| 1023127362 | Lane Drug Co | Durable Medical Equipment & Medical Supplies | 1175 Louisianna Avenue, Perrysburg, OH 43551-2537 | 2006-08-30 |
| 1841306727 | C & M Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 8600 S Wilkinson Way, Suite C, Perrysburg, OH 43551-2598 | 2006-08-22 |
| 1407861453 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10003 Fremont Pike, Perrysburg, OH 43551-3330 | 2006-07-29 |
| 1285668087 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27322 Carronade Dr, Perrysburg, OH 43551-3368 | 2006-07-10 |
| 1396746525 | Ckc Medical Inc | Durable Medical Equipment & Medical Supplies | 25671 Fort Meigs Rd, Suite A, Perrysburg, OH 43551-1191 | 2005-08-10 |
| 1588008403 | Prohealth Physician Group, LLC | Durable Medical Equipment & Medical Supplies | 12611 Eckel Junction Rd, Perrysburg, OH 43551-1304 | 2013-04-22 |
| 1619273760 | Tarrant Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 8600 S Wilkinson Way, C, Perrysburg, OH 43551-2598 | 2011-02-08 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
Please comment or provide details below to improve the information on GREAT LAKES MEDICAL SERVICES 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.