Great Lakes Bay Cardiovascular Institute PLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GREAT LAKES BAY CARDIOVASCULAR INSTITUTE PLC

Practice address

5225 Hampton PL
Saginaw, MI 48604-9578

Phone

(989) 249-6432

Fax

(989) 249-6438

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Raeann Patrice Cronk

Title

Management

Phone

(989) 249-6432

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1346904802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 HAMPTON PL",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049578",
            "telephone_number": "989-249-6432",
            "fax_number": "989-249-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 HAMPTON PL",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049578",
            "telephone_number": "989-249-6432",
            "fax_number": "989-249-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BAY CARDIOVASCULAR INSTITUTE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "CRONK",
        "authorized_official_first_name": "RAEANN",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "989-249-6432"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twannie Gray, LMSW
• Lindsey Graziano
• Carolea Greanias
• Nicholas Anthony Greanias
• Great Beginnings 1, LLC
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers

• Cardiovascular Disease Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.