GREAT LAKES PODIATRY PLLC
NPI 1043728553
Durable Medical Equipment & Medical Supplies in Escanaba, MI

Active since January 18, 2018
126 S 25TH ST STE A, ESCANABA, MI 49829(906) 786-2385(877) 276-3960 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Jan 18, 2018 (2 updates tracked since 2018).

About Great Lakes Podiatry Pllc NPPES

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

GREAT LAKES PODIATRY PLLC (NPI 1043728553) is a healthcare organization registered as a durable medical equipment & medical supplies in Escanaba, Michigan and active in the NPI registry since January 2018. The organization lists Dennis W Leveille, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1043728553
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGREAT LAKES PODIATRY PLLC
Location Address126 S 25TH ST STE AEscanaba, MI 49829-1364
Mailing AddressW4042 Lake Mary Dr SVulcan, MI 49892-8452 · (906) 280-5396
Fax(877) 276-3960
Organization SubpartNo
Authorized OfficialDennis W LeveilleOwner/podiatrist · (906) 786-2385
Enumeration DateJanuary 18, 2018
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1043728553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in MI · 5901001228
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 5901001228 (MI)
126 S 25TH ST STE A, Escanaba, MI 49829

Other Identifiers 2

Medicaid1982696209MI
Medicaid1225079932MI

Other Providers at the Same Location NPPES 2

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

Podiatrist (Foot & Ankle Surgery)
126 S 25TH ST STE A
ESCANABA, MI 49829
Podiatrist (Foot & Ankle Surgery)
126 S 25TH ST STE A
ESCANABA, MI 49829

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 Great Lakes Podiatry PLLC's NPI number?

The NPI number for Great Lakes Podiatry PLLC is 1043728553. It was assigned to this organization in the NPPES registry on January 18, 2018.

Where is Great Lakes Podiatry PLLC located?

Great Lakes Podiatry PLLC is located at 126 S 25th St Ste A, Escanaba, MI 49829. The listed phone number is (906) 786-2385.

What is Great Lakes Podiatry PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Podiatry PLLC was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.