OrganizationActive
Great Lakes Geriatrics PLC
NPI 1265797583 · Internal Medicine Physician · Shelby Township, MI
Provider details
- NPI number
- 1265797583
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Seth Parker, President(586) 731-8400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
50505 Schoenherr Rd
Suite 340
Shelby Township, MI 48315-3140
Phone: (586) 731-8400
Fax: (586) 731-8406
Street-level locationGet directions
Mailing address
50505 Schoenherr Rd
Shelby Township, MI 48315-3140
Registry dates
- Enumerated
- 2012-07-12
- Last updated
- 2012-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.