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NPI · 1366590929 · NPPES-sourced

Great Lakes Neurosurgical Associates, PC

ActiveNeurological Surgery Physician
NPI Number
1366590929
Type 2 · Organisation
Taxonomy Code
207T00000X
Contact
(616) 454-3465
License MI · LH029420
Last Updated
Enumerated
Primary practice addressMI · 49525-4570
3350 Eagle Park Dr Ne Ste 102Grand Rapids, MI 49525-4570
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About this NPIWhat this record shows.

NPI 1366590929 is registered to Great Lakes Neurosurgical Associates, PC, a healthcare organisation classified as "Neurological Surgery Physician" and located at 3350 Eagle Park Dr Ne Ste 102 in Grand Rapids, Michigan. The organisation's authorised official is Lisa Santos. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1245311059MI· Issued by NPI
  • 1326144049MI· Issued by NPI
  • 1497836282MI· Issued by NPI
  • 1659452472MI· Issued by NPI
  • 1225119027MI· Issued by NPI
  • 1770664583MI· Issued by NPI

Source: NPPES public registry.

Medicare enrollment

This provider holds 3 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Great Lakes Neurosurgical Associates, PC accepts. To confirm in-network status with your specific health plan, contact Great Lakes Neurosurgical Associates, PC directly at (616) 454-3465.

Frequently asked

Yes. NPI 1366590929 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Neurological Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (616) 454-3465.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Great Lakes Neurosurgical Associates, PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207T00000X
Last updated
Enumerated
StatusActive
Partneri
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