NPI Portal NPI Lookup & Verification

Great Lakes Practitioners LLC

Great Lakes Practitioners LLC is a healthcare organization registered as Geriatric Medicine (Internal Medicine) Physician in Parma, OH, holding Type 2 (organization) NPI 1689166860 since 2018. The authorized official on file is Kourosh Saghafi, President.

✓ Active NPI ✓ Valid NPI checksum

NPI 1689166860
Entity type Organization (Type 2)
Legal business name Great Lakes Practitioners LLC
Practice address 6681 RIDGE RD STE 300, Parma, OH, 44129
Phone 4408428675
Enumeration date 2018-06-04
Last updated in NPPES 2019-03-13

Authorized official

Name Kourosh Saghafi
Title President
Phone 4408428675

Taxonomy & classification

Taxonomy code Specialty Primary License State
207RG0300X Geriatric Medicine (Internal Medicine) Physician Primary 4184295 OH

Other identifiers

Identifier Type State Issuer
4184295 Other OHIO BUSINESS LICENSE
Copy-ready billing details
Provider: Great Lakes Practitioners LLC
NPI: 1689166860
Taxonomy: 207RG0300X (Geriatric Medicine (Internal Medicine) Physician)
Address: 6681 RIDGE RD STE 300, Parma, OH, 44129

Providers at this address

NPI Name Type Specialty Location
1821221185 Mehdi Saghafi MD Inc Organization Adult Medicine Physician Parma, OH
1205130564 Yaleita Watson Individual Family Nurse Practitioner Parma, OH
1083117766 Hailey Brogan Individual Family Nurse Practitioner Parma, OH
1730679952 Kristine Duvall Individual Adult Health Nurse Practitioner Parma, OH
1831681014 Northeast Ohio Practitioner LLC Organization Geriatric Medicine (Internal Medicine) Physician Parma, OH
1295227486 Central Ohio Valley Practitioners LLC Organization Geriatric Medicine (Internal Medicine) Physician Parma, OH
1770076648 Lisa Gatrell-Jacobs Individual Family Nurse Practitioner Parma, OH
1285129296 Lauren Mindzora Individual Nurse Practitioner Parma, OH

Verify this record

Cross-check NPI 1689166860 against the authoritative CMS record: view Great Lakes Practitioners LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Great Lakes Practitioners LLC located?
The practice location on file with NPPES is in Parma, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-03-13. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-03-13.