GREAT LAKES CANCER MGMT SPECIALISTS (NPI# 1427155357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427155357 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES CANCER MGMT SPECIALISTS |
| Other Organization Name | JEROME E SEID MD |
| Practice Address |
11051 Hall Rd Ste 120 Utica MI 48317-5735 |
| Practice Telephone | 5869910700 |
| Practice Fax Number | 5869910701 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROXANNE CLARK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3138845524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 4301056352 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4231200 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2367159 | 01 |
| Other Name | Type Code |
|---|---|
| JEROME E SEID MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982702973 | Great Lakes Cancer Mgmt Specialists | Non-Pharmacy Dispensing Site | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-09-21 |
| Street Address |
11051 HALL RD STE 120 |
| City | UTICA |
| State | MI |
| Zip Code | 48317-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407846462 | Deborah L Mikula | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2005-10-21 |
| 1366895559 | Michigan Neurology Associates Dme | Durable Medical Equipment & Medical Supplies | 11051 Hall Rd, Ste 240, Utica, MI 48317-5735 | 2016-07-22 |
| 1770818528 | Dawn Marie Roxborough | Nurse Practitioner | 11051 Hall Rd, Suite 120, Utica, MI 48317-5735 | 2009-10-13 |
| 1316116726 | Hematology-oncology Assoc. East, PC | Internal Medicine | 11051 Hall Rd, Suite 120, Utica, MI 48317-5735 | 2008-02-29 |
| 1760664023 | Ann Arbor Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 11051 Hall Rd, Suite 230, Utica, MI 48317-5735 | 2007-11-28 |
| 1841495132 | Utica Asc Partners, LLC | Clinic/Center | 11051 Hall Rd, Suite 230, Utica, MI 48317-5735 | 2007-06-18 |
| 1881769545 | Clinton Women's Healthcare, PC | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2006-11-21 |
| 1649351560 | Cammy E Beglin | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2006-10-18 |
| 1326138033 | Michigan Institute of Urology PC | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-10-13 |
| 1083679070 | Earl R Koenig | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559792 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 201, Warren, MI 48093-2547 | 2018-12-17 |
| 1811468184 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2018-12-16 |
| 1407327778 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2018-12-16 |
| 1003332271 | Wrs Pharmacy Solutions, LLC | Non-Pharmacy Dispensing Site | 112 S Main St Ste A, Ann Arbor, MI 48104-1953 | 2017-08-18 |
| 1457759144 | Perfect Eyes Optical LLC | Non-Pharmacy Dispensing Site | 20880 Gratiot Ave, Eastpointe, MI 48021-2822 | 2014-12-11 |
| 1346478740 | Pristine Medical LLC | Non-Pharmacy Dispensing Site | 1502 W West Maple Rd, Walled Lake, MI 48390-2945 | 2009-06-24 |
| 1801910807 | Wolverine Optical Inc | Non-Pharmacy Dispensing Site | 7314 N Alger Rd, Alma, MI 48801-1072 | 2007-03-17 |
| 1255439253 | Anthony J Derrico Do | Non-Pharmacy Dispensing Site | Cancer Care Associates PC, 1701 S Blvd East Ste 350, Rochester Hills, MI 48307 | 2006-09-21 |
| 1336246263 | Clinical Oncology Associates | Non-Pharmacy Dispensing Site | 30160 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48334-2293 | 2006-09-20 |
| 1730124934 | Northpointe Pediatrics PC | Non-Pharmacy Dispensing Site | 30061 Schoenherr Rd, Ste A, Warren, MI 48088-3133 | 2006-06-19 |
| Find all providers with the same taxonomy | ||||
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| 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.