Great Lakes Sugical Partners, LTD.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GREAT LAKES SUGICAL PARTNERS, LTD.

Practice address

1050 Isaac Streets Dr
Suite 131
Oregon, OH 43616-3291

Phone

(419) 690-0888

Fax

(419) 690-8228

NPI assigned

Mar 13, 2007

Last updated

Mar 19, 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

Mrs. Lisa M. Braun

Title

Office Manager

Phone

(419) 690-0888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1841323755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR",
            "address_2": "SUITE 131",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163291",
            "telephone_number": "419-690-0888",
            "fax_number": "419-690-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR",
            "address_2": "SUITE 131",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163291",
            "telephone_number": "419-690-0888",
            "fax_number": "419-690-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES SUGICAL PARTNERS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-690-0888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Gottfried, PHARMD
• Ethan Richard Goulet
• Tambria Graham
• Elizabeth Kidder Grames, APRN
• Great Lakes Gastroenterology Consultants, LLC
• Sierra N Green, LPN
• Marie Morelli Greenbaum, D.O.
• Mitchell Gordon Greenbaum, D.O.
• Prabhsharn Singh Grewal, MD
• Joshua Grimes

• Surgery Physician in Oregon, OH
• Providers in Oregon, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.