Great Lakes Vascular Clinic PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

4301403638 Issued in MI

Legal business name

GREAT LAKES VASCULAR CLINIC PC

Practice address

2603 Electric Ave
Suite C
Port Huron, MI 48060-6588

Phone

(810) 984-8470

Fax

(810) 966-3025

NPI assigned

Jun 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Saqid Hussain, M.D.

Title

Owner

Phone

(810) 985-1884

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sadiq Hussain, M.D.

  • Vascular Surgery Physician
  • Port Huron, MI
  • NPI 1730197195
  NPD (past)

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851597140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 ELECTRIC AVE",
            "address_2": "SUITE C",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606588",
            "telephone_number": "810-984-8470",
            "fax_number": "810-966-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 ELECTRIC AVE",
            "address_2": "SUITE C",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606588",
            "telephone_number": "810-984-8470",
            "fax_number": "810-966-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES VASCULAR CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SAQID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-985-1884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301403638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Grattan, PHARM. D.
• Adam Gray, MS, CCC-SLP
• Lisa Gray, LPC
• Rene S Gray
• Great Lakes Anesthesia, PLC (Anesthesia Services Associates, PC)
• Robert Michael Green
• Sarah Marie Green
• Margaret Ann Gressle, ACNP-BC
• Matthew Greuber
• Letherron Griffin

• Vascular Surgery Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.