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Great Lakes Pain Consult Pllc

Pain Medicine (Anesthesiology) Physician in Bay City, MI · enumerated 2006 · authorized official Theron Grover, President.

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

National Provider Identifier

1255370094

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Pain Consult Pllc
Practice address 4121 Shrestha Dr, Bay City, MI, 48706
Phone (989) 686-6900
Fax (989) 686-6911
Enumeration date Jun 6, 2006
Last updated in NPPES Jun 19, 2014

Taxonomy & classification

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Theron Grover
Title President
Phone (989) 686-6911

Other identifiers

Identifier Type State Issuer
050Z901090 Other MI BLUE CROSS BLUE SHIELD

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Great Lakes Pain Consult Pllc?
Great Lakes Pain Consult Pllc is registered in NPPES as a Pain Medicine (Anesthesiology) Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-19.