Great Lakes Heart and Vascular, LLC
NPI 1487973269ActiveOrganization· Internal Medicine, Cardiovascular Disease· Marinette, WI
Internal Medicine, Cardiovascular Disease in Marinette, Wisconsin, registered in NPPES in May 2010. The authorized official on file is Edgar J. Massabni, MD, President.
Overview
| NPI | 1487973269 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2010 |
| Last updated in NPPES | May 19, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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