Upper Great Lakes Vascular, P.C – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1366425852

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Upper Great Lakes Vascular, P.C is a healthcare provider. based in Marquette, Michigan. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. The organization holds a License No. 4301057398 (MI). The NPI Number for Upper Great Lakes Vascular, P.C is 1366425852

Main info

Organization

Name

Upper Great Lakes Vascular, P.C

NPI

1366425852

Phone

(906) 225-3964

Address

1414 W FAIR AVE

Authorized Official

JOEL A JOHNSON PRESIDENT M.D.

Enumeration Date

29 November 2005

Last Update Date

22 August 2020

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness80

Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Upper Great Lakes Vascular, P.C

Eye Associates of Marquette, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States
STE 348
MARQUETTE, MI 498552675
Phone: (906) 225-3964
Fax: (906) 226-3875
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49855)

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Frequently asked questions

What is the standard ID for Upper Great Lakes Vascular, P.C in the U.S.?

In the U.S., Upper Great Lakes Vascular, P.C is identified by NPI 1366425852.

Is Upper Great Lakes Vascular, P.C currently accepting referrals based on NPI status?

Registry metadata lists Upper Great Lakes Vascular, P.C as active.

Which specialty label fits Upper Great Lakes Vascular, P.C?

NPPES ties Upper Great Lakes Vascular, P.C to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

What city is tied to Upper Great Lakes Vascular, P.C?

The directory associates Upper Great Lakes Vascular, P.C with Marquette, Michigan. Check all listed addresses for suites or satellite offices.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.