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

Q: What is Great Lakes Pain Consult PLLC's NPI number?

The NPI number for Great Lakes Pain Consult PLLC is 1255370094. It was assigned to this organization in the NPPES registry on June 6, 2006.

Q: What is Great Lakes Pain Consult PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

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: August 30, 2026.

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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

Phone(989) 686-6900

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

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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.

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