Great Lakes Ear Nose & Throat Specialists PC
NPI 1184123150ActiveOrganization· Otolaryngology· Petoskey, MI
Otolaryngology in Petoskey, Michigan, registered in NPPES in February 2018. The authorized official on file is Kevin L. Gietzen, DO, Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184123150 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2018 |
| Last updated in NPPES | Sep 20, 2023 |
| Certified by provider | Sep 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 5101013761 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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