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Great Lakes Pediatric Associates

Pediatrics Physician in Lansing, MI · enumerated 2009 · authorized official Beth Charles, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023342474

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Pediatric Associates
Practice address 3400 Pinetree Rd, Ste 102, Lansing, MI, 48911
Enumeration date Oct 1, 2009
Last updated in NPPES Oct 1, 2009

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 4301049233 (MI) Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 4301063626 (MI) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 4301078945 (MI) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 4301086445 (MI) Secondary

Authorized official

Name Beth Charles
Title Practice Manager

Other identifiers

Identifier Type State Issuer
3069367 Medicaid MI -
3080275 Medicaid MI -
4366885 Medicaid MI -
1144338443 Other MI NPI
1144338450 Other MI NPI
1730297045 Other MI NPI
1831309921 Other MI NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Great Lakes Pediatric Associates?
The NPI for Great Lakes Pediatric Associates is 1023342474, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Great Lakes Pediatric Associates?
NPPES lists Beth Charles (Practice Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-01.