GREAT LAKES MEDICINE, PLC
GREAT LAKES MEDICINE, PLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1740210517, based in Shelby Township, MI. The organization lists 2 taxonomy classifications, with Hospitalist Physician recorded as primary.
Getting there
The practice address on file is 50505 SCHOENHERR RD STE 340, Shelby Township, MI 48315. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 208M00000X | MI | Hospitalist Physician primary |
| 207R00000X | MI | Internal Medicine Physician |
This provider holds licence 208M00000X issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4880613637
- Enrollment ID
- O20051122000265
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Hospitalist covers
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. NUCC Health Care Provider Taxonomy, code 208M00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208M00000X | Hospitalist Physician | 208M00000X | MI | primary |
| 207R00000X | Internal Medicine Physician | 207R00000X | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1740210517 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 4, 2006 |
| Last updated | Nov 5, 2012 |
| Status | Active |
| Practice address |
50505 SCHOENHERR RD STE 340 Shelby Township, MI 48315 (586) 731-8400 Fax (586) 731-8406 |
| Mailing address |
1746 MOMENTUM PL Chicago, IL 60689 |
| Other identifiers |
DE1755
· Other (MI) 0E03034 · Other (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 4 | 0 | 2 | 1 | 0 | 5 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 8 | 0 | 4 | 1 | 0 | 5 | 2 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.