GREAT LAKES PRACTITIONERS LLC – NPI #1689166860
Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
GREAT LAKES PRACTITIONERS LLC is a provider located in PARMA, OH. NPPES has assigned the NPI number 1689166860 to GREAT LAKES PRACTITIONERS LLC on June 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine
The NPI profile was previously updated about 7 years ago on Mar 13, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES PRACTITIONERS LLC below.
NPI Profile for
GREAT LAKES PRACTITIONERS LLC
(more than 8 years ago)
PARMA, OH 44129-5705 Phone: (440) 842-8675 Fax:
PRESIDENT
Phone: (440) 842-8675
Identifiers for GREAT LAKES PRACTITIONERS LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | OHIO BUSINESS LICENSE | 4184295 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RG0300X - Internal Medicine / Geriatric Medicine (Primary) |
OH | 4184295 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.