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GREAT LAKES PEDIATRIC CARDIOLOGY, PLLC
NPI 1295500825
Pediatrics - Pediatric Cardiology in Sterling Heights, MI

Active since November 27, 2023
43200 DEQUINDRE RD STE 105, STERLING HEIGHTS, MI 48314(248) 780-9490(248) 282-0851 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Pediatric Cardiology, Pllc NPPES

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

GREAT LAKES PEDIATRIC CARDIOLOGY, PLLC (NPI 1295500825), doing business as Great Lakes Pediatric Cardiology, is a healthcare organization registered as a pediatric cardiology in Sterling Heights, Michigan and active in the NPI registry since November 2023. The organization lists Ismael Gonzalez Rangel, Pediatric Cardiologist, as its authorized official.

NPPES Registry Identity

NPI1295500825
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameGREAT LAKES PEDIATRIC CARDIOLOGY, PLLC
Location Address43200 DEQUINDRE RD STE 105Sterling Heights, MI 48314-1707
Mailing Address43200 Dequindre Rd Ste 105Sterling Heights, MI 48314-1707 · (248) 780-9490
Phone(248) 780-9490
Fax(248) 282-0851
Organization SubpartNo
Authorized OfficialIsmael Gonzalez RangelPediatric Cardiologist · (361) 228-5103
Enumeration DateNovember 27, 2023
NPPES CertifiedMay 11, 2023
✔ NPI 1295500825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
43200 DEQUINDRE RD STE 105, Sterling Heights, MI 48314
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Other Names 1

Doing Business AsGreat Lakes Pediatric Cardiology

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 4

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

ISMAEL ENRIQUE GONZALEZ RANGEL MD
Pediatrics (Pediatric Cardiology)
43200 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 48314
Macomb County (248) 780-9490
EVIAN DAOUD PA
Physician Assistant
43200 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 48314
Macomb County (248) 780-9490
SARAH ELIZABETH GAVIN PA-C
Physician Assistant
43200 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 48314
Macomb County (586) 285-9270
GREAT LAKES PEDIATRIC CARDIOLOGY PLLC
Pediatrics (Pediatric Cardiology)
43200 DEQUINDRE RD STE 105
STERLING HEIGHTS, MI 48314
Macomb County (248) 780-9490

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 Pediatric Cardiology, PLLC's NPI number?

The NPI number for Great Lakes Pediatric Cardiology, PLLC is 1295500825. It was assigned to this organization in the NPPES registry on November 27, 2023. The provider is doing business as Great Lakes Pediatric Cardiology.

Where is Great Lakes Pediatric Cardiology, PLLC located?

Great Lakes Pediatric Cardiology, PLLC is located at 43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314. The listed phone number is (248) 780-9490.

What is Great Lakes Pediatric Cardiology, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Great Lakes Pediatric Cardiology, PLLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.