OrganizationActive
Great Lakes Pain Consult PLLC
NPI 1255370094 · Pain Medicine (Anesthesiology) Physician · Bay City, MI
Provider details
- NPI number
- 1255370094
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theron Grover, President(989) 686-6911
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4121 Shrestha Dr
Bay City, MI 48706
Phone: (989) 686-6900
Fax: (989) 686-6911
Street-level locationGet directions
Mailing address
61 Commerce Ave Sw
Grand Rapids, MI 49503-4124
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2014-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.