Great Lakes Cardiovascular Thoracic Surgery, PLC
NPI 1487760427 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Portage, MI
Great Lakes Cardiovascular Thoracic Surgery, PLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician organization in Portage, MI (NPI 1487760427).
Provider details
- NPI number
- 1487760427
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Mack, President(269) 372-8687
- License
- 5101009076 (MI)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 5101009076 (MI)
Allopathic & Osteopathic Physicians
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
Other names (DBA / former)
- Doing business as
- Great Lakes Vein Center
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2007-11-13
Frequently asked questions
- What is Great Lakes Cardiovascular Thoracic Surgery, PLC's NPI number?
- Great Lakes Cardiovascular Thoracic Surgery, PLC's National Provider Identifier (NPI) is 1487760427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Cardiovascular Thoracic Surgery, PLC?
- Great Lakes Cardiovascular Thoracic Surgery, PLC is classified in the NPPES registry as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Cardiovascular Thoracic Surgery, PLC located?
- Great Lakes Cardiovascular Thoracic Surgery, PLC's practice location on file with NPPES is 7901 S 12th St, Portage, MI 49024-3831.
- What is Great Lakes Cardiovascular Thoracic Surgery, PLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Cardiovascular Thoracic Surgery, PLC is (269) 372-8687.
- Who is the authorized official for Great Lakes Cardiovascular Thoracic Surgery, PLC?
- The authorized official listed on Great Lakes Cardiovascular Thoracic Surgery, PLC's NPPES record is George Mack, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Cardiovascular Thoracic Surgery, PLC's NPI active?
- Yes — Great Lakes Cardiovascular Thoracic Surgery, PLC's NPI (1487760427) is active in the NPPES registry as of the last update on 2007-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.