Great Lakes Surgical Assistants, PLLC
NPI 1558653303 · Surgical Physician Assistant · Troy, MI
Great Lakes Surgical Assistants, PLLC is a Surgical Physician Assistant organization in Troy, MI (NPI 1558653303).
Provider details
- NPI number
- 1558653303
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brandon Mackenzie, Owner, Pa-C(586) 246-5125
- License
- D5298K (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-05-12
- Last updated
- 2011-07-21
Frequently asked questions
- What is Great Lakes Surgical Assistants, PLLC's NPI number?
- Great Lakes Surgical Assistants, PLLC's National Provider Identifier (NPI) is 1558653303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Surgical Assistants, PLLC?
- Great Lakes Surgical Assistants, PLLC is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Great Lakes Surgical Assistants, PLLC located?
- Great Lakes Surgical Assistants, PLLC's practice location on file with NPPES is 4550 Investment Dr Ste 100, Troy, MI 48098-6334.
- What is Great Lakes Surgical Assistants, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Surgical Assistants, PLLC is (248) 265-4600.
- Who is the authorized official for Great Lakes Surgical Assistants, PLLC?
- The authorized official listed on Great Lakes Surgical Assistants, PLLC's NPPES record is Brandon Mackenzie, Owner, Pa-C. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Surgical Assistants, PLLC's NPI active?
- Yes — Great Lakes Surgical Assistants, PLLC's NPI (1558653303) is active in the NPPES registry as of the last update on 2011-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.