Great Lakes Allergy and Asthma Center, P.C.

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

4301082835 Issued in MI

Legal business name

GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C.

Practice address

309 W 12TH Ave
Suite 101
Sault Sainte Marie, MI 49783-2885

Phone

(906) 253-0400

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter Mike Ranta, M.D.NPI 1750335378

Title

Owner; Physician

Phone

(906) 253-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Peter Mike Ranta, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Sault Sainte Marie, MI
  • NPI 1750335378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1912189457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W 12TH AVE",
            "address_2": "SUITE 101",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832885",
            "telephone_number": "906-253-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W 12TH AVE",
            "address_2": "SUITE 101",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832885",
            "telephone_number": "906-253-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "RANTA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "OWNER; PHYSICIAN",
        "authorized_official_telephone_number": "906-253-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MI",
            "license": "4301082835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4609268",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Isaac Gluck, MD
• Charla V Gordon, MNT
• Danielle Goudreau, PHARMD
• Lisa E Goulet, M.A., CCC-SLP
• Carrie Gray, BCBA-D
• Great Lakes Christina Counseling Services
• Great Lakes Recovery Centers
• Great Lakes Recovery Centers
• Great Lakes Recovery Centers
• Tanecia Groh

• Allergy & Immunology (Internal Medicine) Physician in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Allergy & Immunology (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.