Great Lakes Pediatric Neurology
NPI 1417017476 · Medical Specialty Clinic/Center · Dearborn, MI
Great Lakes Pediatric Neurology is a Medical Specialty Clinic/Center organization in Dearborn, MI (NPI 1417017476).
Provider details
- NPI number
- 1417017476
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yasser Awaad, President(248) 851-1700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Great Lakes Pediatric Neurology's NPI number?
- Great Lakes Pediatric Neurology's National Provider Identifier (NPI) is 1417017476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Pediatric Neurology?
- Great Lakes Pediatric Neurology is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Lakes Pediatric Neurology located?
- Great Lakes Pediatric Neurology's practice location on file with NPPES is 1331 Monroe St, Dearborn, MI 48124-2888.
- What is Great Lakes Pediatric Neurology's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Pediatric Neurology is (248) 851-1700.
- Who is the authorized official for Great Lakes Pediatric Neurology?
- The authorized official listed on Great Lakes Pediatric Neurology's NPPES record is Yasser Awaad, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Pediatric Neurology's NPI active?
- Yes — Great Lakes Pediatric Neurology's NPI (1417017476) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.