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Great Lakes Medical Center Pllc

Geriatric Medicine (Internal Medicine) Physician in Bay City, MI · enumerated 2010 · authorized official Tazeen Ahmed, Owner.

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

National Provider Identifier

1588986996

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Medical Center Pllc
Practice address 2110 16th Street, Ste. 4, Bay City, MI, 48708
Phone (989) 891-9000
Fax (989) 891-9876
Enumeration date Feb 26, 2010
Last updated in NPPES Mar 30, 2021

Taxonomy & classification

207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License TA066513 (MI) Primary

Authorized official

Name Tazeen Ahmed
Title Owner
Phone (989) 891-9000

Other identifiers

Identifier Type State Issuer
1588986996 Medicaid MI -

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 Medical Center Pllc?
The NPI for Great Lakes Medical Center Pllc is 1588986996, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Great Lakes Medical Center Pllc?
NPPES lists Tazeen Ahmed (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-30.