Great Lakes Orthopaedic Center, P.C.
NPI 1952323453ActiveOrganization· Orthopaedic Surgery· Traverse City, MI
Orthopaedic Surgery in Traverse City, Michigan, registered in NPPES in July 2006. The authorized official on file is Chrissy Durga, Administrator. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1952323453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2006 |
| Last updated in NPPES | Oct 22, 2020 |
| Certified by provider | Oct 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Prosthetic/Orthotic Supplier | 335E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Orthopaedic Surgery providers in Traverse City
- 1396030037
- 1790176972
- 1063277796
- 1881312213
- 1669512000
- 1588258883
- 1467102236
- 1194763334
- 1275983108
- 1275637811
- 1649291519
- 1396769220