GREATER LAKES AMBULATORY SURGICAL CENTER, LLC (NPI# 1679717466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679717466 |
| Entity Type | Organization |
| Organization Name | GREATER LAKES AMBULATORY SURGICAL CENTER, LLC |
| Other Organization Name | GREATER LAKES AMBULATORY SURGERY CENTER |
| Practice Address |
16100 19 Mile Rd Suite 100 Clinton Township MI 48038-1148 |
| Practice Telephone | 5862860000 |
| Practice Fax Number | 5862860005 |
| Mailing Telephone | 5862860000 |
| Mailing Fax Number | 5862860005 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | ALLISON ANITA BRYNAERT (ADMINISTRATOR/DIRECTOR) |
| Authorized Official Telephone | 5862860000 |
| Authorized Official Credential | RN, BSN, RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
506836 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Greater Lakes Ambulatory Surgery Center | Doing Business As Name - Organization |
| Street Address |
16100 19 MILE RD SUITE 100 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887300 | Plastic Surgery Center Inc | Clinic/Center | 16100 19 Mile Rd, Suite 100, Clinton Township, MI 48038-1148 | 2005-11-11 |
| 1356905962 | Alison Sandra Yousif | Nurse Practitioner | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2019-04-29 |
| 1275004251 | Woodward Transportation, LLC | Non-emergency Medical Transport (VAN) | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2018-12-17 |
| 1528511821 | Allison Brynaert | Registered Nurse | 16100 19 Mile Rd, Suite 100, Clinton Township, MI 48038-1148 | 2016-08-03 |
| 1902295801 | Us Health Pharmaceuticals LLC | Pharmacy | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2015-01-15 |
| 1558696351 | Greater Lakes Anesthesia, Pllc | Anesthesiology | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2009-10-12 |
| 1588800304 | Ips of Detroit Pllc | Pain Medicine | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2008-12-29 |
| 1912937335 | Gregory E Punches | Specialist | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407954365 | Asc-tcg, LLC | Clinic/Center | 37399 Garfield Road, Suite 100, Clinton Township, MI 48036 | 2006-09-21 |
| 1902887300 | Plastic Surgery Center Inc | Clinic/Center | 16100 19 Mile Rd, Suite 100, Clinton Township, MI 48038-1148 | 2005-11-11 |
| 1457864365 | Summit Surgical Center LLC | Clinic/Center | 16100 19 Mile Rd Ste 100, Clinton Township, MI 48038-1148 | 2017-11-14 |
| 1649416231 | Clinton Partners, LLC | Clinic/Center | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 | 2009-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on GREATER LAKES AMBULATORY SURGICAL CENTER, 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.