Great Lakes Physicians LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

GREAT LAKES PHYSICIANS LLC

Practice address

6681 Ridge Road
Suite 300
Parma, OH 44129-5713

Phone

(216) 398-0863

Fax

(216) 351-3619

NPI assigned

Dec 28, 2005

Last updated

Apr 30, 2008By 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

Mr. James Saghafi

Title

Chief Financial Officer

Phone

(216) 702-0360

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Louis J Demicco, DO

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1568502466
  NPD (past)
• Harmohinder Singh Dhillon, MD

  • Internal Medicine Physician
  • Elyria, OH
  • NPI 1578552568
  NPD (past)
• Parul Ramesh Gujarathi, M.D.

  • Internal Medicine Physician
  • Streetsboro, OH
  • NPI 1073628616
  NPD (past)
• Dariush Saghafi, M.D.

  • Neurology Physician
  • Parma Heights, OH
  • NPI 1891772125
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1598742801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 RIDGE ROAD",
            "address_2": "SUITE 300",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "216-398-0863",
            "fax_number": "216-351-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 RIDGE ROAD",
            "address_2": "SUITE 300",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "216-398-0863",
            "fax_number": "216-351-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SAGHAFI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "216-702-0360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2518798",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian V. Graham, M.A., CCC-SLP
• Romie Graham
• Camille Grant, LPN
• Tiffany N Grant, CNA
• Javonne Renee' Gray, CNM
• Great Lakes Practitioners LLC
• Daniel Harold Greathouse III, M.S.
• Sara M Green, MACCC-SLP
• Leslie R Greenberg, DDS
• Anthony Warren Greene

• Medical Physician Assistant in Parma, OH
• Providers in Parma, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.