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UPPER GREAT LAKES VASCULAR, P.C
NPI 1366425852
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Marquette, MI

Active since November 29, 2005
1414 W FAIR AVE, STE 215, MARQUETTE, MI 49855(906) 225-7701(906) 225-7705 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Upper Great Lakes Vascular, P.c NPPES

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

UPPER GREAT LAKES VASCULAR, P.C (NPI 1366425852) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Marquette, Michigan and active in the NPI registry since November 2005. The organization lists Joel A Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1366425852
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameJOEL A JOHNSON, M.D., P.C.
Location Address1414 W FAIR AVE, STE 215Marquette, MI 49855-2675
Mailing Address1414 W Fair Ave, Ste 348Marquette, MI 49855-2675 · (906) 225-3964 · Fax (906) 226-3875
Phone(906) 225-7701
Fax(906) 225-7705
Organization SubpartNo
Authorized OfficialJoel A JohnsonPresident · (906) 225-7701
Enumeration DateNovember 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366425852 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
License✔ Licensed in MI · 4301057398
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.
1414 W FAIR AVE, Marquette, MI 49855
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Other Names 1

Doing Business AsUpper Great Lakes Vascular, P.c

Other Identifiers 1

Other330E21025MI · Blue Cross Blue Shield Mi

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 20

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

MR. KIRK W MATTHEWS LMSW
Social Worker (Clinical)
1414 W FAIR AVE
MARQUETTE, MI 49855
Marquette County (906) 774-3300
MR. STEVEN M GUALDONI PAC
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Marquette County (906) 225-3922
PENINSULA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE, SUITE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
BOBBY Z JOSEPH M.D.
Allergy & Immunology
1414 W FAIR AVE, SUITE 216
MARQUETTE, MI 49855
Marquette County (906) 225-4725
NATHAN SAMUEL TAYLOR MD
Plastic Surgery (Surgery of the Hand)
1414 W FAIR AVE, SUITE 190
MARQUETTE, MI 49855
Marquette County (906) 225-1321
DR. PUSHPAMAL NAYANANGA SAMARARATNE MD
Student in an Organized Health Care Education/Training Program
1414 W FAIR AVE, SUITE 24
MARQUETTE, MI 49855
Marquette County (906) 225-3864
RODNEY RIESLAND NP
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Marquette County (906) 225-3910
MANSOUR MIKY M.D.
Physical Medicine & Rehabilitation
1414 W FAIR AVE, SUITE 204
MARQUETTE, MI 49855
Marquette County (906) 225-7740

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 Joel A Johnson, M.D., P.C.'s NPI number?

The NPI number for Joel A Johnson, M.D., P.C. is 1366425852. It was assigned to this organization in the NPPES registry on November 29, 2005. The provider is doing business as Upper Great Lakes Vascular, P.C.

Where is Joel A Johnson, M.D., P.C. located?

Joel A Johnson, M.D., P.C. is located at 1414 W Fair Ave Ste 215, Marquette, MI 49855. The listed phone number is (906) 225-7701.

What is Joel A Johnson, M.D., P.C.'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 Joel A Johnson, M.D., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.