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GREAT LAKES HEART & VASCULAR INSTITUTE, P.C.
NPI 1205911047
Internal Medicine - Cardiovascular Disease in Saint Joseph, MI

Active since October 26, 2006
3950 HOLLYWOOD RD, SUITE 110, SAINT JOSEPH, MI 49085(269) 985-1000(269) 983-1627 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Heart & Vascular Institute, P.c. NPPES

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

GREAT LAKES HEART & VASCULAR INSTITUTE, P.C. (NPI 1205911047) is a healthcare organization registered as a cardiovascular disease in Saint Joseph, Michigan and active in the NPI registry since October 2006. The organization lists Thomas K Pow, President, as its authorized official.

NPPES Registry Identity

NPI1205911047
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameGREAT LAKES HEART & VASCULAR INSTITUTE, P.C.
Location Address3950 HOLLYWOOD RD, SUITE 110Saint Joseph, MI 49085-9151
Mailing Address3950 Hollywood Rd, Suite 110Saint Joseph, MI 49085-9151 · (269) 985-1000 · Fax (269) 983-1627
Phone(269) 985-1000
Fax(269) 983-1627
Organization SubpartNo
Authorized OfficialThomas K PowPresident · (269) 985-1000
Enumeration DateOctober 26, 2006
Last NPPES UpdateApril 15, 2015
✔ NPI 1205911047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · TP054928
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3950 HOLLYWOOD RD, Saint Joseph, MI 49085
Open in Google Maps ↗

Other Identifiers 9

Medicaid3444708MI
Medicaid4176450MI
Medicaid4751365MI
Medicare PINM95350MI
Medicare PINN12620MI
Medicaid4718520MI
Medicare UPINB87153MI
Medicaid4176414MI
Medicaid4176497MI

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 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.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.

BENJAMIN T. WOOD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
DR. YU-LAM CHRISTOPHER CHIU M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000
AMENA IQBAL
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1600
LAKESIDE CANCER SPECIALISTS, PLLC
Clinic/Center (Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (269) 428-4411
DR. PHILIP JASHEWAY PT, AT
Physical Therapist
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-7150
DR. JOHN L BARD MD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
SPECTRUM HEALTH HOSPITALS
Pediatrics (Pediatric Hematology-Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (616) 267-1925
DR. THOMAS K POW M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000

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 Heart & Vascular Institute, P.C.'s NPI number?

The NPI number for Great Lakes Heart & Vascular Institute, P.C. is 1205911047. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Great Lakes Heart & Vascular Institute, P.C. located?

Great Lakes Heart & Vascular Institute, P.C. is located at 3950 Hollywood Rd Suite 110, Saint Joseph, MI 49085. The listed phone number is (269) 985-1000.

What is Great Lakes Heart & Vascular Institute, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Great Lakes Heart & Vascular Institute, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Great Lakes Heart & Vascular Institute, P.C. 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 Great Lakes Heart & Vascular Institute, P.C. was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.