Great Lakes Medical Solutions, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREAT LAKES MEDICAL SOLUTIONS, INC.

Practice address

1521 Georgetown Rd Ste 205
Hudson, OH 44236-4093

Phone

(330) 650-2022

NPI assigned

Apr 29, 2011

Last updated

May 17, 2011By 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

David Farrell Sr.

Title

President

Phone

(330) 650-2022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1134410723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GEORGETOWN RD #205",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "330-650-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GEORGETOWN RD STE 205",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364093",
            "telephone_number": "330-650-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES MEDICAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-650-2022",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joao Antonio Gomes, M.D.
• Whitney Gordon, FNP-C
• Lindsey Kay Grabfelder
• Robert S Graves, D.C.,C.C.S.P.
• Tiason Gray
• Meggan Greenbaum
• Christina Marie Grezlik, STNA
• Suzanne Grimm
• Michelle Denise Grimsley Tallman, NP
• Katherine Guesman

• Durable Medical Equipment & Medical Supplies in Hudson, OH
• Providers in Hudson, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.