GREAT LAKES NEUROSURGICAL ASSOCIATES, PC
NPI 1366590929
Neurological Surgery in Grand Rapids, MI

Active since January 08, 2007
3350 EAGLE PARK DR NE STE 102, GRAND RAPIDS, MI 49525(616) 454-3465 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1366590929) is a healthcare organization registered as a neurological surgery in Grand Rapids, Michigan and active in the NPI registry since January 2007. The organization lists Lisa Santos, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366590929
Entity TypeOrganization
Primary Taxonomy207T00000X
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
Organization SubpartNo
Authorized OfficialLisa SantosExecutive Director · (616) 242-7042
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
NPI 1366590929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MI · LH029420
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

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

Other Identifiers 6

Other1245311059MI · Npi
Other1326144049MI · Npi
Other1497836282MI · Npi
Other1659452472MI · Npi
Other1225119027MI · Npi
Other1770664583MI · Npi

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

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.

Durable Medical Equipment & Medical Supplies
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 1366590929. It was assigned to this organization in the NPPES registry on January 8, 2007.

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 Neurological Surgery with taxonomy code 207T00000X.

What insurance does Great Lakes Neurosurgical Associates, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 October 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.