Great Lakes Care Inc
NPI 1184091712ActiveOrganization· Internal Medicine· Beachwood, OH
Internal Medicine in Beachwood, Ohio, registered in NPPES in August 2015. The authorized official on file is Ionel Zamfir Donca, M.D., Pesident. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184091712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2015 |
| Last updated in NPPES | Nov 10, 2025 |
| Certified by provider | Nov 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 35093209 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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