GREAT LAKES NEUROLOGY, PC – NPI #1811071798
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

GREAT LAKES NEUROLOGY, PC is a psychiatry & neurologist located in PETOSKEY, MI. NPPES has assigned the NPI number 1811071798 to GREAT LAKES NEUROLOGY, PC on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 14 years ago on Feb 21, 2012. 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 NEUROLOGY, PC below.

NPI Profile for
GREAT LAKES NEUROLOGY, PC

NPI Number
1811071798
Enumeration Date

(more than 19 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
GREAT LAKES NEUROLOGY, PC
Primary location
932 SPRING ST STE 102
PETOSKEY, MI 49770-2286
Phone: (231) 487-3970 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN HUDER
PRESIDENT
Phone: (231) 487-3970
Updated
Identifiers

Identifiers for GREAT LAKES NEUROLOGY, PC

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
MEDICAIDMI3514160
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
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 MI SH067274

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.