GREAT LAKES VASCULAR CLINIC PC – NPI #1851597140
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

GREAT LAKES VASCULAR CLINIC PC is a surgeon located in PORT HURON, MI. NPPES has assigned the NPI number 1851597140 to GREAT LAKES VASCULAR CLINIC PC on June 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 VASCULAR CLINIC PC below.

NPI Profile for
GREAT LAKES VASCULAR CLINIC PC

NPI Number
1851597140
Enumeration Date

(about 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 VASCULAR CLINIC PC
Primary location
2603 ELECTRIC AVE
SUITE C
PORT HURON, MI 48060-6588
Phone: (810) 984-8470 Fax: (810) 966-3025
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAQID HUSSAIN
OWNER
Phone: (810) 985-1884
Updated
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
2086S0129X
- Surgery / Vascular Surgery (Primary)		 MI 4301403638

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.