GREAT LAKES PHYSICIANS LLC NPI 1598742801

NPI Information

  • NPI: 1598742801
  • Provider Name: GREAT LAKES PHYSICIANS LLC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • Address: 6681 RIDGE ROAD
    SUITE 300
    PARMA, OH
    ZIP 44129
  • Phone: (216) 398-0863

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NPI Details

GREAT LAKES PHYSICIANS LLC is a medical physician assistant in Parma, OH. GREAT LAKES PHYSICIANS LLC NPI is 1598742801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6681 RIDGE ROAD
SUITE 300
PARMA, OH
ZIP 44129-713
Phone: (216) 398-0863
Fax: (216) 351-3619

The provider's authorized official is James Saghafi .
The authorized official title is Chief Financial Officer and has the following contact phone number (216) 702-0360.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 4/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareNo
2363AM0700XPhysician AssistantMedicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Y19598MEDICARE UPINOHIO
29347791MEDICARE PINOHIO
32518798MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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