Great Lakes Ear Nose & Throat Specialists PC
NPI 1184123150 · Otolaryngology Physician · Petoskey, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Ear Nose & Throat Specialists PC is a Otolaryngology Physician organization in Petoskey, MI (NPI 1184123150).
Provider details
- NPI number
- 1184123150
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Gietzen, Doctor(231) 838-1571
- License
- 5101013761 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 101 Oxbow DrAlpena, MI 49707-1448Phone: (231) 489-8151Fax: (231) 668-7794
- 829 N Center Ave Ste 160Gaylord, MI 49735-1598Phone: (231) 489-8151Fax: (231) 668-7794
Registry dates
- Enumerated
- 2018-02-06
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Great Lakes Ear Nose & Throat Specialists PC's NPI number?
- Great Lakes Ear Nose & Throat Specialists PC's National Provider Identifier (NPI) is 1184123150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Ear Nose & Throat Specialists PC?
- Great Lakes Ear Nose & Throat Specialists PC is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Ear Nose & Throat Specialists PC located?
- Great Lakes Ear Nose & Throat Specialists PC's practice location on file with NPPES is 1114 Charlevoix Ave, Petoskey, MI 49770-9701.
- What is Great Lakes Ear Nose & Throat Specialists PC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Ear Nose & Throat Specialists PC is (231) 489-8151.
- Does Great Lakes Ear Nose & Throat Specialists PC accept Medicare?
- Great Lakes Ear Nose & Throat Specialists PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Ear Nose & Throat Specialists PC?
- The authorized official listed on Great Lakes Ear Nose & Throat Specialists PC's NPPES record is Kevin Gietzen, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Ear Nose & Throat Specialists PC's NPI active?
- Yes — Great Lakes Ear Nose & Throat Specialists PC's NPI (1184123150) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.