GREAT LAKES MEDICAL EQUIPMENT GROUP (NPI# 1679973408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679973408 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES MEDICAL EQUIPMENT GROUP |
| Practice Address |
6940 Dixie Hwy Bridgeport MI 48722-9760 |
| Practice Telephone | 9898927722 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | SEHRISH KHURRAM (SOLE MEMBER) |
| Authorized Official Telephone | 9898927722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers |
| Street Address |
6940 DIXIE HWY |
| City | BRIDGEPORT |
| State | MI |
| Zip Code | 48722-9760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063445104 | Henryk Czeslaw Pietrus | Family Medicine | 6940 Dixie Hwy, Bridgeport, MI 48722-9760 | 2006-07-09 |
| 1255939880 | Ashley Weaver | Nurse Practitioner | 6940 Dixie Hwy, Bridgeport, MI 48722-9760 | 2020-10-15 |
| 1760946495 | Lori Jones | Nurse Practitioner | 6940 Dixie Hwy, Bridgeport, MI 48722-9760 | 2019-01-28 |
| 1356600431 | Cass River Health Plaza Pllc | Family Medicine | 6940 Dixie Hwy, Bridgeport, MI 48722-9760 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1760787360 | Melinda Eve Bierlein | Physical Therapist | 5460 W. Rolling Hills Drive, Bridgeport, MI 48722 | 2011-01-13 |
| 1376016261 | Guidepost Counseling Services, Pllc | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722 | 2019-01-03 |
| 1497098594 | Nicole Marie Judson | Physical Therapist | 5460 W Rolling Hills Dr, Bridgeport, MI 48722 | 2013-03-27 |
| 1659600377 | Kevin J Luptowski | Counselor | 6379 Dixie Hwy, Bridgeport, MI 48722 | 2009-12-08 |
| 1255472114 | Boettcher Home Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6230 Dixie Hwy, Bridgeport, MI 48722-9513 | 2007-02-12 |
| 1356308480 | Bridgeport Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6226 Dixie Hwy, Bridgeport, MI 48722-9513 | 2006-05-01 |
| 1114917242 | Bridgeport Pharmacy Inc | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2005-10-28 |
| 1922581131 | Midmichigan Rx Services LLC | Pharmacy | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-09-13 |
| 1184120990 | Hemang Vinodchandra Patel | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-04-02 |
| Find all providers in zip 48722 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986455 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 300 Fairfield Ave, Ste 103, Bridgeport, CT 06604-4208 | 2017-04-17 |
| 1144643354 | Aperion Care Bridgeport LLC | Durable Medical Equipment & Medical Supplies | 900 Corporation St, Bridgeport, IL 62417-2206 | 2014-01-23 |
| 1871838748 | Hancock Pharmacy IIi, LLC | Durable Medical Equipment & Medical Supplies | 3768 Main St, Bridgeport, CT 06606-3610 | 2012-12-04 |
| 1609179860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1240 W Main St, Bridgeport, WV 26330 | 2010-12-09 |
| 1154645356 | Hancock Pharmacy II LLC | Durable Medical Equipment & Medical Supplies | 1020 Fairfield Ave, Bridgeport, CT 06605-1187 | 2010-03-17 |
| 1609109842 | Main Street Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1005 Main St # 1j, Bridgeport, CT 06604-4221 | 2009-09-04 |
| 1750556056 | James E Volk Inc | Durable Medical Equipment & Medical Supplies | 873 National Rd, Bridgeport, OH 43912-1464 | 2008-04-28 |
| 1487852620 | Bujalo LLC | Durable Medical Equipment & Medical Supplies | 64 Woodmont Ave, Bridgeport, CT 06606-2709 | 2007-07-10 |
| 1730230749 | Patriot Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 253 N Lincoln Ave, Suite 100, Bridgeport, OH 43912-1645 | 2007-01-16 |
| 1588734941 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 45 Professional Pl Ste 101, Bridgeport, WV 26330-1788 | 2006-11-09 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 48722 |
Please comment or provide details below to improve the information on GREAT LAKES MEDICAL EQUIPMENT GROUP.
| 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.