Great Lakes OBGYN Specialist

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GREAT LAKES OBGYN SPECIALIST

Practice address

1775 Wells Ave
Muskegon, MI 49442-2459

Phone

(231) 773-9048

NPI assigned

Oct 18, 2010

Organization subpart

Yes

Parent organization

MERCY HEALTH PARTNERSAs reported in NPPES

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

Authorized official

Name

Michelle Lohman

Title

Director Network Financial Services

Phone

(231) 727-4499

Specialties & licenses 4

Addresses

Part of

Mercy Hospital Ctr Forc

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1225348741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431847",
            "telephone_number": "231-727-4444",
            "fax_number": "231-727-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WELLS AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494422459",
            "telephone_number": "231-773-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES OBGYN SPECIALIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "LOHMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR NETWORK FINANCIAL SERVICES",
        "authorized_official_telephone_number": "231-727-4499"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie J Gray, LMSW
• Kathleen Marie Gray, PA
• Shakia Gray
• Great Lakes Hope LLC
• Great Lakes Internal Medicine, PC
• Great Lakes Obstetric Gynecological Specialists PLC
• Great Lakes Specialty Hosptial - Hackley LLC
• Greater Grace Assemblies and Networks
• Angela Kay Green, PHARM.D.
• Gregory G Green, MD

• Obstetrics & Gynecology Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.