NPIMap

Organization Active NPI

Great Lakes Brain and Spine Institute PC

  • Specialist
  • Jackson, MI
National Provider Identifier
1952512766
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GREAT LAKES BRAIN AND SPINE INSTITUTE PC
Practice address
900 E Michigan Ave
Suite 109
Jackson, MI 49201-2457
Phone
(517) 782-0500
Fax
(517) 782-1713
NPI assigned
May 24, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Harish Rawal, MDNPI 1396768693
Title
President
Phone
(517) 782-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MI Primary

Addresses

Primary practice location

900 E Michigan Ave
Suite 109
Jackson, MI 49201-2457

Mailing address

900 E Michigan Ave
Suite 109
Jackson, MI 49201-2457
Phone (517) 782-0500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1952512766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE",
            "address_2": "SUITE 109",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012457",
            "telephone_number": "517-782-0500",
            "fax_number": "517-782-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE",
            "address_2": "SUITE 109",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012457",
            "telephone_number": "517-782-0500",
            "fax_number": "517-782-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BRAIN AND SPINE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "RAWAL",
        "authorized_official_first_name": "HARISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-782-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.