Great Lakes Bay Hearing LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

GREAT LAKES BAY HEARING LLC

Practice address

112 W Wackerly St
Midland, MI 48640-7367

Phone

(989) 486-1457

Fax

(989) 486-1479

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By 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

Steven Scott

Title

Owner

Phone

(989) 486-1457

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Nicole L Hacker, AU.D., PH.D.

  • Audiologist
  • Midland, MI
  • NPI 1720015738
  Medicare reassignment NPD
• Whitney Nicole Jacks, AUD

  • Audiologist
  • Midland, MI
  • NPI 1134846918
  Medicare reassignment NPD
• Rachel Leblanc, AU.D, CCC-A

  • Audiologist
  • Midland, MI
  • NPI 1740770775
  Medicare reassignment NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1265159545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407367",
            "telephone_number": "989-486-1457",
            "fax_number": "989-486-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407367",
            "telephone_number": "989-486-1457",
            "fax_number": "989-486-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BAY HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-486-1457"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rose Gray
• Alycia Gray
• Jenna Gray, PT, DPT
• George H Grazul, CRNA
• Great Lakes Bay Health Centers (Great Lakes Bay Health Centers Integrated Care Midland)
• Great Lakes Bay Orthodontics, PLC
• Great Lakes Health, LLC
• Great Lakes Home Care Unlimited LLC
• Great Lakes Home Care Unlimited LLC
• Great Lakes Pharmacy Midland, LLC (Great Lakes Pharmacy of Midland)

• Audiologist in Midland, MI
• Providers in Midland, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.