GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C.
NPI 1912189457
Internal Medicine - Allergy & Immunology in Sault Sainte Marie, MI

Active since November 27, 2007
309 W 12TH AVE, SUITE 101, SAULT SAINTE MARIE, MI 49783(906) 253-0400 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Lakes Allergy And Asthma Center, P.c. NPPES

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

GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C. (NPI 1912189457) is a healthcare organization registered as an allergy & immunology in Sault Sainte Marie, Michigan and active in the NPI registry since November 2007. The organization lists Peter Mike Ranta, Owner; Physician, as its authorized official.

NPPES Registry Identity

NPI1912189457
Entity TypeOrganization
Primary Taxonomy207RA0201X
Legal Business NameGREAT LAKES ALLERGY AND ASTHMA CENTER, P.C.
Location Address309 W 12TH AVE, SUITE 101Sault Sainte Marie, MI 49783-2885
Mailing Address309 W 12th Ave, Suite 101Sault Sainte Marie, MI 49783-2885 · (906) 253-0400
Organization SubpartNo
Authorized OfficialPeter Mike RantaOwner; Physician · (906) 253-0400
Enumeration DateNovember 27, 2007
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1912189457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in MI · 4301082835
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
309 W 12TH AVE, Sault Sainte Marie, MI 49783

Other Identifiers 3

Medicare UPINI06942MI
Medicaid4609268MI
Medicare PIN0N91630

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Allergy And Asthma Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Lakes Allergy And Asthma Center, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Allergy/Immunology
NPI 1750335378
309 W 12TH AVE SUITE 101
Sault Sainte Marie, MI 49783
(906) 253-0400
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Allergy And Asthma Center, P.C.'s NPI number?

The NPI number for Great Lakes Allergy And Asthma Center, P.C. is 1912189457. It was assigned to this organization in the NPPES registry on November 27, 2007.

Where is Great Lakes Allergy And Asthma Center, P.C. located?

Great Lakes Allergy And Asthma Center, P.C. is located at 309 W 12th Ave Suite 101, Sault Sainte Marie, MI 49783. The listed phone number is (906) 253-0400.

What is Great Lakes Allergy And Asthma Center, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Great Lakes Allergy And Asthma Center, P.C. enrolled in Medicare?

Yes. Great Lakes Allergy And Asthma Center, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Allergy And Asthma Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Great Lakes Allergy And Asthma Center, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Allergy And Asthma Center, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Allergy And Asthma Center, P.C. 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 Allergy And Asthma Center, P.C. was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.