GREAT LAKES HEALTHCARE SPECIALISTS LLC (NPI# 1467851139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467851139 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES HEALTHCARE SPECIALISTS LLC |
| Practice Address |
900 Ridge Road Suite E Munster IN 46321-1727 |
| Practice Telephone | 2198368100 |
| Practice Fax Number | 2198369656 |
| Mailing Telephone | 2198368100 |
| Mailing Fax Number | 2198369656 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | MR. LEONARD V COVELLO (CORPORATION MANAGER) |
| Authorized Official Telephone | 2198368100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
900 RIDGE ROAD SUITE E |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073990867 | Ear, Nose, Throat, Sinus | Otolaryngology | 8840 Calumet Ave Ste 101, Munster, IN 46321-2546 | 2015-04-30 |
| 1861609216 | Jatin R Patel | Otolaryngology | 8840 Calumet Ave Ste 101, Munster, IN 46321-2546 | 2007-05-16 |
| 1225256514 | Leonard V Covello Md PC | Otolaryngology | 900 Ridge Rd, Suite E, Munster, IN 46321-1726 | 2007-04-23 |
| 1467411835 | Leonard Vincent Covello | Otolaryngology | 900 Ridge Rd, Suite E, Munster, IN 46321 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376882399 | Unity Healthcare, LLC | Otolaryngology | 1345 Unity Pl Ste 110a, Lafayette, IN 47905-5760 | 2013-02-12 |
| 1528040045 | Kyle D. Loy | Otolaryngology | 2606 Veterans Memorial Pkwy S, Suite 1, Lafayette, IN 47909-9192 | 2005-11-18 |
| 1669702106 | St Margaret Mercy Healthcare Centers, Inc | Otolaryngology | 24 Joliet St Ste 101, Dyer, IN 46311-1705 | 2010-01-06 |
| 1417186487 | Duran Back Pain Chiropractic Clinic, Inc. | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2009-07-10 |
| 1487892766 | Richard Kurtz Md Professional Corporation | Otolaryngology | 3351 N Meridian St, Suite 100, Indianapolis, IN 46208-4674 | 2009-01-26 |
| 1811152572 | St. Margaret Mercy Healthcare Centers, Inc | Otolaryngology | 5500 Hohman Avenue, Suite 2a, Hammond, IN 46320-1942 | 2008-07-22 |
| 1275735581 | John S Gilbert | Otolaryngology | 1753 Fulton St, Elkhart, IN 46514-1927 | 2007-05-31 |
| 1871715011 | Peter Nicholas Rigas II | Otolaryngology | 12188a N Meridian St, Suite 375, Carmel, IN 46032-4406 | 2007-05-03 |
| 1437275229 | Kyle D Loy Md PC | Otolaryngology | 2606 Veterans Memorial Pkwy S, Ste 1, Lafayette, IN 47909-9192 | 2007-03-22 |
| 1609915503 | Chad Alan Glazer | Otolaryngology | 8865 W 400 N, Suite 120, Michigan City, IN 46360-9222 | 2007-02-06 |
| 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.