DR. GARY C LULENSKI (NPI# 1962552950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962552950 |
| Entity Type | Individual |
| Full Name | DR. GARY C LULENSKI |
| Credential | MD |
| Practice Address |
2500 Niles Road #5 St Joseph MI 49085 |
| Practice Telephone | 2694283442 |
| Practice Fax Number | 2694288062 |
| Mailing Telephone | 2694283442 |
| Mailing Fax Number | 2694288062 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 430103863 | MI | Allopathic & Osteopathic Physicians |
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
430103863 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 101861013 | 05 | |
| MI | BCBS | 0401135182 | 01 |
| Street Address |
2500 NILES ROAD #5 |
| City | ST JOSEPH |
| State | MI |
| Zip Code | 49085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851332712 | Douglas F Wacker | Otolaryngology | 1323 E Michigan Ave, Lansing, MI 48912-2104 | 2006-06-09 |
| 1588616650 | Ali F Mafee | Otolaryngology | 33330 Palmer Rd, Westland, MI 48186-5529 | 2006-05-17 |
| 1316901739 | Gerald L Gilroy | Otolaryngology | 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823-8472 | 2006-04-13 |
| 1033198502 | James T. Bishop, M.d., P.C. | Otolaryngology | 844 S Washington Ave, Ste 1800, Holland, MI 49423-7186 | 2006-01-12 |
| 1922001791 | James Tegart Bishop | Otolaryngology | 388 Garden Ave, Ste 100, Holland, MI 49424-7186 | 2005-05-24 |
| 1598980773 | Paul Henri Belanger | Otolaryngology | 268 Seminole Rd, Norton Shores, MI 49444-3733 | 2007-04-14 |
| 1235250978 | Gerald L Gilroy Do PC | Otolaryngology | 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823-8472 | 2007-04-02 |
| 1609939743 | Jeffrey Scott Milewski | Otolaryngology | 2551 Mcleod Dr S, Saginaw, MI 48604-2827 | 2006-12-19 |
| 1295828358 | Andrew I. Dzul | Otolaryngology | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2006-10-02 |
Please comment or provide details below to improve the information on DR. GARY C LULENSKI.
| 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.