GREAT LAKES MEDICAL SERVICES LLC (NPI# 1184705121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184705121 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES MEDICAL SERVICES LLC |
| Other Organization Name | GREAT LAKES URGENT CARE |
| Practice Address |
25660 Dixie Hwy Perrysburg OH 43551-2167 |
| Practice Telephone | 4198725343 |
| Practice Fax Number | 4198722465 |
| Mailing Telephone | 4198725343 |
| Mailing Fax Number | 4198722465 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-05-01 |
| Authorized Official Name | MR. KYLE PRUETER (PRESIDENT) |
| Authorized Official Telephone | 4198725343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
1515723 | OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Great Lakes Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922248863 | Great Lakes Medical Services LLC | Durable Medical Equipment & Medical Supplies | 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 2009-03-05 |
| 1326152091 | Great Lakes Medical Services LLC | Clinic/Center | 1021 Sandusky St, Ste C, Perrysburg, OH 43551 | 2006-08-18 |
| Street Address |
25660 DIXIE HWY |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417379611 | Jill Frances Swanson | Nurse Practitioner | 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 2014-01-08 |
| 1922248863 | Great Lakes Medical Services LLC | Durable Medical Equipment & Medical Supplies | 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 2009-03-05 |
| 1770761272 | Great Lakes Nursing LLC | Home Health | 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316302359 | Promedica Central Physicians LLC | Clinic/Center | 25950 Dixie Hwy, Perrysburg, OH 43551-2983 | 2015-12-17 |
| 1326152091 | Great Lakes Medical Services LLC | Clinic/Center | 1021 Sandusky St, Ste C, Perrysburg, OH 43551 | 2006-08-18 |
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|---|---|---|---|---|
| 1194326629 | Premier Physicians Centers Inc. | Clinic/Center | 18660 Bagley Rd Ste 101, Middleburg Heights, OH 44130-3483 | 2020-11-02 |
| 1114534005 | Alison Sturgis | Clinic/Center | 272 Cora Dr, Carlisle, OH 45005-3223 | 2020-09-25 |
| 1811508625 | Suhas LLC | Clinic/Center | 9110 Mentor Ave Unit 9b, Mentor, OH 44060-6404 | 2020-08-14 |
| 1215563432 | North High Family & Acute Care, LLC | Clinic/Center | 902 N High St Ste B, Hillsboro, OH 45133-8501 | 2020-03-19 |
| 1558994178 | Artemis Health Services, LLC | Clinic/Center | 3055 Cleveland Ave Ste A, Columbus, OH 43224-3602 | 2020-02-21 |
| 1801428099 | Samaritan Regional Health System | Clinic/Center | 1033 Ashland Rd Ste 173, Mansfield, OH 44905-2156 | 2020-02-06 |
| 1194365932 | Community Urgent Care Plus | Clinic/Center | 5082 Glencrossing Way, Cincinnati, OH 45238-3360 | 2020-01-09 |
| 1710522305 | Arlington Urgent Care Inc | Clinic/Center | 2216 E Main St, Bexley, OH 43209-2319 | 2019-11-07 |
| 1437794021 | Arlington Urgent Care, Inc | Clinic/Center | 2245 W Dublin Granville Rd Ste 101, Columbus, OH 43085-3336 | 2019-11-07 |
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
Please comment or provide details below to improve the information on GREAT LAKES MEDICAL SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.