Great Lakes Pediatric Associates
NPI 1023342474ActiveOrganization· Pediatrics· Lansing, MI
Pediatrics in Lansing, Michigan, registered in NPPES in October 2009. The authorized official on file is Beth Ileen Charles, Practice Manager.
Overview
| NPI | 1023342474 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2009 |
| Last updated in NPPES | Oct 1, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 4301049233 | MI |
| Pediatrics | 208000000X | 4301063626 | MI |
| Pediatrics | 208000000X | 4301078945 | MI |
| Pediatrics | 208000000X | 4301086445 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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