Great Lakes Medical Center PLLC
NPI 1588986996ActiveOrganization· Internal Medicine, Geriatric Medicine· Bay City, MI
Internal Medicine, Geriatric Medicine in Bay City, Michigan, registered in NPPES in February 2010. The authorized official on file is Tazeen Ahmed, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588986996 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2010 |
| Last updated in NPPES | Mar 30, 2021 |
| Certified by provider | Mar 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | TA066513 | 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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