Great Lakes Orthopaedics

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREAT LAKES ORTHOPAEDICS

Practice address

6255 Inkster Rd Ste 103
Garden City, MI 48135-2538

Phone

(734) 422-8400

Fax

(734) 422-8563

NPI assigned

Jan 30, 2007

Last updated

Mar 20, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffery E Lawley, D.O.

Title

President

Phone

(734) 422-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Great Lakes Orthopaedics

  • Orthopaedic Surgery Physician
  • Garden City, MI
  • NPI 1740375518

  3779560818

  Same PAC ID

Tax ID family

Great Lakes Orthopaedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Great Lakes Orthopaedics

  • Orthopaedic Surgery Physician
  • Garden City, MI
  • NPI 1740375518
  NPD tax ID

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_GLO

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy James Doig, D.O.

  • Orthopaedic Surgery Physician
  • Garden City, MI
  • NPI 1861705402
  NPD
• Paul J Drouillard, D.O.

  • Orthopaedic Surgery Physician
  • Garden City, MI
  • NPI 1033189576
  NPD
• Jeffrey E Lawley, D.O.

  • Orthopaedic Surgery Physician
  • Garden City, MI
  • NPI 1952372104
  NPD
• Eric William Schweller, D.O.

  • Orthopaedic Surgery Physician
  • Garden City, MI
  • NPI 1740690775
  NPD
• Joseph L Walkiewicz, D.O.

  • Orthopaedic Surgery Physician
  • Garden City, MI
  • NPI 1396716544
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1063559391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD STE 103",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352538",
            "telephone_number": "734-422-8400",
            "fax_number": "734-422-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD STE 103",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352538",
            "telephone_number": "734-422-8400",
            "fax_number": "734-422-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "LAWLEY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-422-8400",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540H227020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Goyal, MD
• Gale Ellen Grabowski, OD
• Grace Medical Supplies Inc
• Taylor Graham, MD
• Danica Grceski, LLMSW
• Great Lakes Orthopaedics
• Laura Maria Green, RDN
• Gregg Chiropractic Life Center P.C.
• James Michael Gregg, D.C.
• Robert James Gregg, D.C.

• Durable Medical Equipment & Medical Supplies in Garden City, MI
• Providers in Garden City, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.