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GREAT LAKES CARDIOTHORACIC & VASCULAR SURGERY PLLC
NPI 1346283116
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Petoskey, MI

Active since June 13, 2006
2390 MITCHELL PARK DR, SUITE B, PETOSKEY, MI 49770(231) 487-9090(231) 487-9191 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Cardiothoracic & Vascular Surgery Pllc NPPES

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

GREAT LAKES CARDIOTHORACIC & VASCULAR SURGERY PLLC (NPI 1346283116) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Petoskey, Michigan and active in the NPI registry since June 2006. The organization lists Brad E. Vazales, President, as its authorized official.

NPPES Registry Identity

NPI1346283116
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameGREAT LAKES CARDIOTHORACIC & VASCULAR SURGERY PLLC
Location Address2390 MITCHELL PARK DR, SUITE BPetoskey, MI 49770-8965
Mailing Address2390 Mitchell Park Dr, Suite BPetoskey, MI 49770-8965 · (231) 487-9090 · Fax (231) 487-9191
Phone(231) 487-9090
Fax(231) 487-9191
Organization SubpartNo
Authorized OfficialBrad E. VazalesPresident · (231) 487-9090
Enumeration DateJune 13, 2006
Last NPPES UpdateOctober 20, 2009
✔ NPI 1346283116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2390 MITCHELL PARK DR, Petoskey, MI 49770
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Other Identifiers 2

Other780001998MI · Rr Medicare
Medicare PIN0N57190MI

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 12

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

MS. SARAH ANN BROSCHART RDN
Dietitian, Registered
2390 MITCHELL PARK DR
PETOSKEY, MI 49770
Emmet County (231) 487-5569
CHRISTINE GREENWALT CARPENTER MSW, LMSW, ACSW
Social Worker (Clinical)
2390 MITCHELL PARK DR
PETOSKEY, MI 49770
Emmet County (231) 487-2250
ALCONA CITIZENS FOR HEALTH, INC.
Pediatrics
2390 MITCHELL PARK DR, SUITE A
PETOSKEY, MI 49770
Emmet County (231) 487-2250
PETOSKEY CHILD HEALTH ASSOCIATES, PC
Pediatrics
2390 MITCHELL PARK DR, SUITE A
PETOSKEY, MI 49770
Emmet County (231) 487-2250
BRAD E VAZALES M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2390 MITCHELL PARK DR, SUITE B
PETOSKEY, MI 49770
Emmet County (231) 487-9090
R D FERGUSON DO, PC
Family Medicine
2390 MITCHELL PARK DR, UNIT C
PETOSKEY, MI 49770
Emmet County (231) 348-1968
DR. MARLA M SIGNS D.O.
Pediatrics
2390 MITCHELL PARK DR, SUITE A
PETOSKEY, MI 49770
Emmet County (231) 487-2250
R D FERGUSON DO, PC
Family Medicine
2390 MITCHELL PARK DR, UNIT C
PETOSKEY, MI 49770
Emmet County (231) 348-1968

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 Cardiothoracic & Vascular Surgery PLLC's NPI number?

The NPI number for Great Lakes Cardiothoracic & Vascular Surgery PLLC is 1346283116. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Great Lakes Cardiothoracic & Vascular Surgery PLLC located?

Great Lakes Cardiothoracic & Vascular Surgery PLLC is located at 2390 Mitchell Park Dr Suite B, Petoskey, MI 49770. The listed phone number is (231) 487-9090.

What is Great Lakes Cardiothoracic & Vascular Surgery PLLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Cardiothoracic & Vascular Surgery PLLC was last updated on October 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.