GREAT LAKES NEUROSURGICAL ASSOCIATES, PC
NPI 1306366810
Durable Medical Equipment & Medical Supplies in Grand Rapids, MI

Active since June 26, 2017
3350 EAGLE PARK DR NE STE 102, GRAND RAPIDS, MI 49525(616) 454-3465(616) 454-9004 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2025, Jul 21, 2022, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Great Lakes Neurosurgical Associates, Pc NPPES

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

GREAT LAKES NEUROSURGICAL ASSOCIATES, PC (NPI 1306366810) is a healthcare organization registered as a durable medical equipment & medical supplies in Grand Rapids, Michigan and active in the NPI registry since June 2017. The organization lists Lisa Santos, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306366810
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGREAT LAKES NEUROSURGICAL ASSOCIATES, PC
Location Address3350 EAGLE PARK DR NE STE 102Grand Rapids, MI 49525-4570
Mailing Address3350 Eagle Park Dr Ne Ste 102Grand Rapids, MI 49525-4570 · (616) 454-3465 · Fax (616) 454-9004
Fax(616) 454-9004
Organization SubpartNo
Authorized OfficialLisa SantosExecutive Director · (616) 242-7042
Enumeration DateJune 26, 2017
Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1306366810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

3350 EAGLE PARK DR NE STE 102, Grand Rapids, MI 49525

Other Identifiers 2

Medicaid1366590929MI
Other0D11057MI · Blue Cross And Blue Shield Of Michigan

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Neurological Surgery
3350 EAGLE PARK DR NE STE 102
GRAND RAPIDS, MI 49525
Physician Assistant
3350 EAGLE PARK DR NE STE 102
GRAND RAPIDS, MI 49525

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 Neurosurgical Associates, PC's NPI number?

The NPI number for Great Lakes Neurosurgical Associates, PC is 1306366810. It was assigned to this organization in the NPPES registry on June 26, 2017.

Where is Great Lakes Neurosurgical Associates, PC located?

Great Lakes Neurosurgical Associates, PC is located at 3350 Eagle Park Dr NE Ste 102, Grand Rapids, MI 49525. The listed phone number is (616) 454-3465.

What is Great Lakes Neurosurgical Associates, PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Great Lakes Neurosurgical Associates, PC accept?

Health plans from Priority Health list Great Lakes Neurosurgical Associates, PC 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 Neurosurgical Associates, PC was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.