GREAT LAKES VEIN CENTER – NPI #1487760427
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

GREAT LAKES VEIN CENTER is a thoracic surgeon located in PORTAGE, MI. NPPES has assigned the NPI number 1487760427 to GREAT LAKES VEIN CENTER on August 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREAT LAKES VEIN CENTER” is a dba name, the actual legal business name for this organization is GREAT LAKES CARDIOVASCULAR THORACIC SURGERY, PLC. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 19 years ago on Nov 13, 2007. 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 VEIN CENTER below.

NPI Profile for
GREAT LAKES CARDIOVASCULAR THORACIC SURGERY, PLC

NPI Number
1487760427
Enumeration Date

(about 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
GREAT LAKES CARDIOVASCULAR THORACIC SURGERY, PLC
Doing Business As (dba): GREAT LAKES VEIN CENTER
Primary location
7901 S 12TH ST
SUITE 201
PORTAGE, MI 49024-3831
Phone: (269) 372-8687 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE MACK
PRESIDENT
Phone: (269) 372-8687
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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 MI 5101009076

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.