LAKESHORE EAR NOSE AND THROAT CENTER PC
NPI 1033202023
Otolaryngology in Saint Clair Shores, MI

Q: What is Lakeshore Ear Nose And Throat Center PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since October 02, 2006

21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeshore Ear Nose And Throat Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE EAR NOSE AND THROAT CENTER PC (NPI 1033202023) is a healthcare organization registered as an otolaryngology in Saint Clair Shores, Michigan and active in the NPI registry since October 2006. The organization lists Daniel Dj Megler, President Chief Executive Office, as its authorized official.

NPPES Registry Identity

NPI1033202023

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameLAKESHORE EAR NOSE AND THROAT CENTER PC

Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081-1116

Mailing Address21000 E 12 Mile Rd, Suite 111Saint Clair Shores, MI 48081-1116 · (586) 779-7610

Phone(586) 779-7610

Organization SubpartNo

Authorized OfficialDaniel Dj MeglerPresident Chief Executive Office · (586) 779-7610

Enumeration DateOctober 2, 2006

Last NPPES UpdateOctober 12, 2007

✔ NPI 1033202023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

21000 E 12 MILE RD, Saint Clair Shores, MI 48081

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Other Identifiers 3

Other0E01107Blue Shield

Medicare PIN0M97590

Other0E06192Blue Shield Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOUGLAS CARL KUBEK D.O.

Otolaryngology (Sleep Medicine)

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

MARY E MARKOVICH

Audiologist-Hearing Aid Fitter

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

DR. MICHAEL S FOZO MD

Otolaryngology (Plastic Surgery within the Head & Neck)

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

ANN R MCREYNOLDS MD

Obstetrics & Gynecology

21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5100

NATHAN S. WHITE MD

Obstetrics & Gynecology

21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5100

LAKESHORE EAR NOSE AND THROAT CENTER PC

Allergy & Immunology

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

MRS. ELIZABETH THERESE PARUS CRNA

Nurse Anesthetist, Certified Registered

21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 447-5021

MAUREEN JANE STREETER AU. D.

Audiologist-Hearing Aid Fitter

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Ear Nose And Throat Center PC's NPI number?

The NPI number for Lakeshore Ear Nose And Throat Center PC is 1033202023. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Lakeshore Ear Nose And Throat Center PC located?

Lakeshore Ear Nose And Throat Center PC is located at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Lakeshore Ear Nose And Throat Center PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Lakeshore Ear Nose And Throat Center PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Ear Nose And Throat Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeshore Ear Nose And Throat Center PC was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.