GREAT LAKES PHYSICIANS – NPI #1063481737
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

GREAT LAKES PHYSICIANS is a provider located in BELLEVUE, OH. NPPES has assigned the NPI number 1063481737 to GREAT LAKES PHYSICIANS on March 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREAT LAKES PHYSICIANS” is a dba name, the actual legal business name for this organization is BELLEVUE PROFESSIONAL SERVICES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 3 years ago on Oct 23, 2023. 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 PHYSICIANS below.

NPI Profile for
BELLEVUE PROFESSIONAL SERVICES, INC.

NPI Number
1063481737
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BELLEVUE PROFESSIONAL SERVICES, INC.
Doing Business As (dba): GREAT LAKES PHYSICIANS
Primary location
1400 W MAIN ST
BLDG 1, SUITE A
BELLEVUE, OH 44811-9429
Phone: (419) 483-2494 Fax: (419) 483-3224
Mailing address
PO BOX 638775
CINCINNATI, OH 45263-8775
Phone: (800) 514-4390 Fax: (440) 808-3675
Organization Subpart
No
Authorized Official
TIM BUIT
CEO
Phone: (419) 483-4040
Updated
Certification Date
Oct 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GREAT LAKES PHYSICIANS

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.

DescriptionIssuerStateIdentifier
medicaidOH2535377
Taxonomy Code(s)

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
207V00000X
- Obstetrics & Gynecology (Primary)
OH 34009034
207X00000X
- Orthopaedic Surgery
OH 34006462
207Q00000X
- Family Medicine
OH 35090068

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.