GREAT LAKES HEART & VASCULAR INSTITUTE, P.C.
NPI 1205911047
Internal Medicine - Cardiovascular Disease in Saint Joseph, MI
NPI Status: Active since October 26, 2006
Contact Information
3950 HOLLYWOOD RD
SUITE 110
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 985-1000
Fax: (269) 983-1627
- Organization
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
About GREAT LAKES HEART & VASCULAR INSTITUTE, P.C.
This page provides the complete NPI Profile along with additional information for Great Lakes Heart & Vascular Institute, P.c., an internist established in Saint Joseph, Michigan operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1205911047 assigned on October 2006. The practitioner's primary taxonomy code is 207RC0000X with license number TP054928 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Thomas K Pow M.d. (President)
- NPI
- 1205911047
- Provider Name
- GREAT LAKES HEART & VASCULAR INSTITUTE, P.C.
- Entity Type
- Organization
- Location Address
- 3950 HOLLYWOOD RD SUITE 110 SAINT JOSEPH, MI 49085
- Location Phone
- (269) 985-1000
- Location Fax
- (269) 983-1627
- Mailing Address
- 3950 HOLLYWOOD RD SUITE 110 SAINT JOSEPH, MI 49085
- Mailing Phone
- (269) 985-1000
- Mailing Fax
- (269) 983-1627
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-26-2006
- Last Update Date
- 04-15-2015
- Code Navigator
An internist like Great Lakes Heart & Vascular Institute, P.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- TP054928
- License State
- MI
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3444708 | MEDICAID (05) | MI | |
| 4176450 | MEDICAID (05) | MI | |
| 4751365 | MEDICAID (05) | MI | |
| M95350 | MEDICARE PIN (08) | MI | |
| N12620 | MEDICARE PIN (08) | MI | |
| 4718520 | MEDICAID (05) | MI | |
| B87153 | MEDICARE UPIN (02) | MI | |
| 4176414 | MEDICAID (05) | MI | |
| 4176497 | MEDICAID (05) | MI |
Reviews for GREAT LAKES HEART & VASCULAR INSTITUTE, P.C.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205911047, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205911047, enumerated as an "organization" on October 26, 2006.
The provider is located at 3950 HOLLYWOOD RD SUITE 110 SAINT JOSEPH, MI 49085 and the phone number is (269) 985-1000.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
