GREAT LAKES EAR NOSE & THROAT SPECIALISTS PC
NPI 1184123150
Otolaryngology in Petoskey, MI
NPI Status: Active since February 06, 2018
Contact Information
1114 CHARLEVOIX AVE
PETOSKEY, MI
ZIP 49770
Phone: (231) 489-8151
Fax: (231) 668-7794
- Organization
- Otolaryngology
- Accepts Insurance
About GREAT LAKES EAR NOSE & THROAT SPECIALISTS PC
This page provides the complete NPI Profile along with additional information for Great Lakes Ear Nose & Throat Specialists Pc, a provider established in Petoskey, Michigan operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1184123150 assigned on February 2018. The practitioner's primary taxonomy code is 207Y00000X with license number 5101013761 (MI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kevin L Gietzen Do (Doctor)
- NPI
- 1184123150
- Provider Name
- GREAT LAKES EAR NOSE & THROAT SPECIALISTS PC
- Entity Type
- Organization
- Location Address
- 1114 CHARLEVOIX AVE PETOSKEY, MI 49770
- Location Phone
- (231) 489-8151
- Location Fax
- (231) 668-7794
- Mailing Address
- 1114 CHARLEVOIX AVE PETOSKEY, MI 49770
- Mailing Phone
- (231) 489-8151
- Mailing Fax
- (231) 668-7794
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2018
- Last Update Date
- 09-20-2023
- Code Navigator
Location Map
Secondary Locations
- 101 Oxbow Dr
Alpena, MI 49707
(231) 489-8151 - 829 N Center Ave Ste 160
Gaylord, MI 49735
(231) 489-8151
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101013761
- License State
- MI
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 1 | 2 | 3 | 1 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 2 | 2 | 6 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 2 + 2 + 6 + 1 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1184123150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306883202 | DR. MATTHEW L VISCONTI M.D. Individual | Radiology (Diagnostic Radiology) | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 439-9700 |
| 1003853144 | MVP IMAGING PLC Organization | Radiology (Diagnostic Radiology) | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 439-9700 |
| 1821273798 | SHANNON R BIEBER PA-C Individual | Physician Assistant | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 439-9700 |
| 1811924160 | MATTHEW L VISCONTI MD LLC Organization | Radiology (Diagnostic Radiology) | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 439-9700 |
| 1497775514 | BRADLEY T VANASSCHE MD Individual | Radiology (Diagnostic Radiology) | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 439-9700 |
| 1467867549 | LINDSAY RECKINGER AU.D. Individual | Audiologist | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 489-8151 |
| 1538189154 | DR. KEVIN L GIETZEN D.O. Individual | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 489-8151 |
| 1699268805 | SPENCER CROSS DNP Individual | Nurse Practitioner (Family) | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 489-8151 |
| 1609609411 | KELSI LYNN CHURCHILL Individual | Audiologist | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 489-8151 |
| 1205609781 | CHRISTIAN MATTHEW FISHWICK Individual | Physician Assistant (Medical) | 1114 CHARLEVOIX AVE PETOSKEY, MI 49770 (231) 489-8151 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184123150, enumerated in the NPI registry as an "organization" on February 06, 2018
The provider is located at 1114 Charlevoix Ave Petoskey, Mi 49770 and the phone number is (231) 489-8151
This medical organization specializes in Otolaryngology with taxonomy code 207Y00000X
The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 06, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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