GREAT LAKES HEART AND VASCULAR, LLC
NPI 1487973269
Internal Medicine - Cardiovascular Disease in Marinette, WI

Q: What is Great Lakes Heart And Vascular, LLC's NPI number?

The NPI number for Great Lakes Heart And Vascular, LLC is 1487973269. It was assigned to this organization in the NPPES registry on May 19, 2010.

Q: What is Great Lakes Heart And Vascular, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since May 19, 2010

3100 SHORE DR, MARINETTE, WI 54143(715) 735-8067 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Lakes Heart And Vascular, Llc NPPES

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

GREAT LAKES HEART AND VASCULAR, LLC (NPI 1487973269) is a healthcare organization registered as a cardiovascular disease in Marinette, Wisconsin and active in the NPI registry since May 2010. The organization lists Edgar J Massabni, President, as its authorized official.

NPPES Registry Identity

NPI1487973269

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameGREAT LAKES HEART AND VASCULAR, LLC

Location Address3100 SHORE DRMarinette, WI 54143-4242

Mailing Address3205 Liberty Bell RdGreen Bay, WI 54313-6992

Phone(715) 735-8067

Organization SubpartNo

Authorized OfficialEdgar J MassabniPresident · (715) 735-8067

Enumeration DateMay 19, 2010

✔ NPI 1487973269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3100 SHORE DR, Marinette, WI 54143

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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.

DR. DAVID R MERTENS MD

Internal Medicine (Hematology & Oncology)

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 735-6523

KARA ANN MEKARSKI CCC-SLP

Speech-Language Pathologist

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 732-5102

DANIELLE L DENRUYTER RD

Dietitian, Registered

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 735-4200

BAY AREA IMAGING, S.C.

Radiology (Diagnostic Radiology)

3100 SHORE DR, RADIOLOGY DEPARTMENT
MARINETTE, WI 54143

Marinette County (715) 735-4200

JENA K DOEMEL

Dietitian, Registered

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 732-4200

NORTHREACH HEALTHCARE LLC

Family Medicine

3100 SHORE DR, NORTHREACH HEALTHCARE LLC
MARINETTE, WI 54143

Marinette County (715) 732-2075

BAY AREA MEDICAL CENTER, INC

Internal Medicine (Cardiovascular Disease)

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 735-8067

TRUDI A CHASE MD

Internal Medicine (Hematology & Oncology)

3100 SHORE DR
MARINETTE, WI 54143

Marinette County (715) 735-4200

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 Heart And Vascular, LLC's NPI number?

The NPI number for Great Lakes Heart And Vascular, LLC is 1487973269. It was assigned to this organization in the NPPES registry on May 19, 2010.

Where is Great Lakes Heart And Vascular, LLC located?

Great Lakes Heart And Vascular, LLC is located at 3100 Shore Dr, Marinette, WI 54143. The listed phone number is (715) 735-8067.

What is Great Lakes Heart And Vascular, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Heart And Vascular, LLC was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.