Great Lakes Neurosurgical Associates, PC
NPI 1366590929ActiveOrganization· Neurological Surgery· Grand Rapids, MI
Neurological Surgery in Grand Rapids, Michigan, registered in NPPES in January 2007. The authorized official on file is Lisa Santos, Executive Director. Enrolled in Medicare as dme supplier - physician - neurosurgery and part b supplier - clinic/group practice.
Overview
| NPI | 1366590929 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2007 |
| Last updated in NPPES | Oct 24, 2023 |
| Certified by provider | Oct 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | LH029420 | 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 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 DME Supplier - Physician - Neurosurgery (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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