GREAT LAKES VEIN CENTER
NPI 1487760427
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portage, MI
NPI Status: Active since August 22, 2006
Contact Information
7901 S 12TH ST
SUITE 201
PORTAGE, MI
ZIP 49024
Phone: (269) 372-8687
- Organization
- Thoracic Surgery (Cardiothoracic Vascula...
About GREAT LAKES VEIN CENTER
This page provides the complete NPI Profile along with additional information for Great Lakes Vein Center, a provider established in Portage, Michigan operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1487760427 assigned on August 2006. The practitioner's primary taxonomy code is 208G00000X with license number 5101009076 (MI). The provider is registered as an organization and their NPI record was last updated 18 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 provider's is doing business as Great Lakes Vein Center. The authorized official of this NPI record is Dr. George Joseph Mack D.o. (President)
- NPI
- 1487760427
- Provider Legal Name
- GREAT LAKES CARDIOVASCULAR THORACIC SURGERY, PLC
- Other Organization Name
- GREAT LAKES VEIN CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7901 S 12TH ST SUITE 201 PORTAGE, MI 49024
- Location Phone
- (269) 372-8687
- Mailing Address
- 7901 S 12TH ST SUITE 201 PORTAGE, MI 49024
- Mailing Phone
- (269) 372-8687
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-22-2006
- Last Update Date
- 11-13-2007
- Code Navigator
Location Map
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
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101009076
- License State
- MI
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0P35660 | MEDICARE PIN (08) | MI |
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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 | 4 | 8 | 7 | 7 | 6 | 0 | 4 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 14 | 6 | 0 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 4 + 6 + 0 + 4 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1487760427 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1104810340 | MICHAEL C NAVE MD Individual | Specialist | 7901 S 12TH ST SUITE 100 PORTAGE, MI 49024 (269) 372-3000 |
| 1609968247 | ALFONSO EMANUEL F RODRIGUEZ PT Individual | Physical Therapist | 7901 S 12TH ST SUITE #200 PORTAGE, MI 49024 (269) 372-7200 |
| 1144519133 | JONATHAN NYKAMP FNP Individual | Nurse Practitioner (Family) | 7901 S 12TH ST PORTAGE, MI 49024 (269) 978-0444 |
| 1639464894 | KELLY RENEE CAMPBELL OT Individual | Occupational Therapist | 7901 S 12TH ST SUITE #200 PORTAGE, MI 49024 (269) 372-7200 |
| 1538593009 | KIMBERLY CAROL CLARK B.S. CMT Individual | Specialist | 7901 S 12TH ST SUITE 200 PORTAGE, MI 49024 (269) 720-6833 |
| 1942247176 | SPORTS MEDICINE & JOINT CARE OF WEST MICHIGAN, PLC Organization | Orthopaedic Surgery | 7901 S 12TH ST SUITE 101 PORTAGE, MI 49024 (269) 978-0444 |
| 1194719336 | ALAN S MESSINGER MD Individual | Plastic Surgery | 7901 S 12TH ST SUITE 100 PORTAGE, MI 49024 (269) 372-3000 |
| 1538161229 | ALAN L STEPHENS MD Individual | Plastic Surgery | 7901 S 12TH ST SUITE 100 KALAMAZOO, MI 49024 (269) 372-3000 |
| 1689818486 | DR. KIMBERLY CLAWSON Individual | Plastic Surgery | 7901 S 12TH ST PORTAGE, MI 49024 (269) 372-3000 |
| 1588756340 | BRYAN DALE VISSER MD Individual | Physical Medicine & Rehabilitation | 7901 S 12TH ST SUITE #200 PORTAGE, MI 49024 (269) 372-7200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487760427, enumerated in the NPI registry as an "organization" on August 22, 2006
The provider is located at 7901 S 12th St Suite 201 Portage, Mi 49024 and the phone number is (269) 372-8687
This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
The provider might be accepting Accepts: Medicare and Medicaid. 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 August 22, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.