GREAT LAKES PAIN CONSULT PLLC
NPI 1255370094
Anesthesiology - Pain Medicine in Bay City, MI

Active since June 06, 2006
4121 SHRESTHA DR, BAY CITY, MI 48706(989) 686-6900(989) 686-6911 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Great Lakes Pain Consult Pllc NPPES

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

GREAT LAKES PAIN CONSULT PLLC (NPI 1255370094) is a healthcare organization registered as a pain medicine in Bay City, Michigan and active in the NPI registry since June 2006. The organization lists Theron Hugh Grover, President, as its authorized official.

NPPES Registry Identity

NPI1255370094
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameGREAT LAKES PAIN CONSULT PLLC
Location Address4121 SHRESTHA DRBay City, MI 48706
Mailing Address61 Commerce Ave SwGrand Rapids, MI 49503-4124 · (616) 940-0660 · Fax (616) 940-1965
Fax(989) 686-6911
Organization SubpartNo
Authorized OfficialTheron Hugh GroverPresident · (989) 686-6911
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 19, 2014
NPI 1255370094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

4121 SHRESTHA DR, Bay City, MI 48706

Other Identifiers 4

Other050Z901090MI · Blue Cross Blue Shield
Medicare PIN0P14030MI
Medicare PIN0N98030MI
Medicare PIN0N80100MI

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

Other Providers at the Same Location NPPES 6

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

Physical Therapist
4121 SHRESTHA DR
BAY CITY, MI 48706
Physical Therapist
4121 SHRESTHA DR
BAY CITY, MI 48706
Anesthesiology (Pain Medicine)
4121 SHRESTHA DR
BAY CITY, MI 48706
Nurse Practitioner
4121 SHRESTHA DR
BAY CITY, MI 48706
Clinic/Center
4121 SHRESTHA DR
BAY CITY, MI 48706
Physical Medicine & Rehabilitation
4121 SHRESTHA DR
BAY CITY, MI 48706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255370094, enumerated as an "organization" on June 06, 2006.

The provider is located at 4121 SHRESTHA DR BAY CITY, MI 48706 and the phone number is (989) 686-6900.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.