GREAT LAKES SURGICAL ASSISTANTS, PLLC
NPI 1558653303
Physician Assistant - Surgical in Troy, MI
NPI Status: Active since May 12, 2011
Contact Information
4550 INVESTMENT DR STE 100
TROY, MI
ZIP 48098
Phone: (248) 265-4600
- Organization
- Physician Assistant
- Surgical
About GREAT LAKES SURGICAL ASSISTANTS, PLLC
This page provides the complete NPI Profile along with additional information for Great Lakes Surgical Assistants, Pllc, a provider established in Troy, Michigan operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1558653303 assigned on May 2011. The practitioner's primary taxonomy code is 363AS0400X with license number D5298K (MI). The provider is registered as an organization and their NPI record was last updated 15 years ago. Great Lakes Surgical Assistants, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brandon E Mackenzie Pa-c (Owner, Pa-c)
- NPI
- 1558653303
- Provider Name
- GREAT LAKES SURGICAL ASSISTANTS, PLLC
- Entity Type
- Organization
- Location Address
- 4550 INVESTMENT DR STE 100 TROY, MI 48098
- Location Phone
- (248) 265-4600
- Mailing Address
- 47120 LAND ST CHESTERFIELD, MI 48047
- Mailing Phone
- (586) 246-5125
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-12-2011
- Last Update Date
- 07-21-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- D5298K
- License State
- MI
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0N33470042 | OTHER (01) | MI | MEDICARE ID-TYPE UNSPECIFIED |
| P78997 | MEDICARE UPIN (02) | MI |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558653303, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
TROY, MI 48098
TROY, MI 48098
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558653303, enumerated as an "organization" on May 12, 2011.
The provider is located at 4550 INVESTMENT DR STE 100 TROY, MI 48098 and the phone number is (248) 265-4600.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
