DR. MICHAEL J PARKER (NPI# 1629076294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629076294 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J PARKER |
| Credential | MD |
| Practice Address |
401 Munson Ave Traverse City MI 49686 |
| Mailing Address |
401 Munson Ave Traverse City MI 49686-3041 |
| Practice Telephone | 2319339150 |
| Practice Fax Number | 2319331553 |
| Mailing Telephone | 2319339150 |
| Mailing Fax Number | 2319331553 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2018-07-11 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301056827 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK ID | P114353 | 01 |
| MI | BCBS PROVIDER ID | 1002803802 | 01 |
| MI | TAX ID | 364465889 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383630 | Michael Parker | Dentist | 300 Center Dr Ste 106, Vernon Hills, IL 60061-1525 | 2020-07-06 |
| 1164877460 | Michael Parker | Student in an Organized Health Care Education/Training Program | 6552 Sw 24th Ct, Topeka, KS 66614-5607 | 2016-04-25 |
| 1659522597 | Michael Lee Parker | Chiropractor | 1157 Sugarloaf Dr, Amarillo, TX 79110-3518 | 2008-10-09 |
| 1235324609 | Michael Parker | Dentist | 500 Kenwood Ave, Delmar, NY 12054-1822 | 2007-09-10 |
| 1417177825 | Michael D Parker | Nurse Anesthetist, Certified Registered | 387 West Ih10, Fort Stockton, TX 79735-1648 | 2007-04-26 |
| 1992920532 | Michael C Parker | Dentist | 8630 University Pkwy, Pensacola, FL 32514-4907 | 2007-04-17 |
| 1780753897 | Michael Parker | Family Medicine | 119 S Highway 342 Ste 401, Red Oak, TX 75154-6406 | 2006-11-06 |
| 1023033479 | Michael P. Parker | Neuromusculoskeletal Medicine, Sports Medicine | 433 West High Street, Bryan, OH 43506-1690 | 2006-07-13 |
| 1427084490 | Michael Allen Parker | Nurse Anesthetist, Certified Registered | 1132 Fairmount Ave, Chattanooga, TN 37405-2850 | 2006-06-23 |
| 1477521698 | Michael Ray Parker | Optometrist | 900 Gault Ave S, Fort Payne, AL 35967 | 2006-03-14 |
| Street Address |
401 MUNSON AVE |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134422777 | Bayside Doc's Urgent Care Office | General Practice | 401 Munson Ave, Traverse City, MI 49686-3041 | 2010-12-20 |
| 1851580815 | Southern Grand Traverse Medical | Physician Assistant | 401 Munson Ave, Traverse City, MI 49686-3041 | 2007-10-16 |
| 1740324664 | Carol Ann Straight | Nurse Practitioner | 401 Munson Ave, Traverse City, MI 49686-3041 | 2007-02-16 |
| 1316092943 | Bayside Docs Urgent Care Plc | Clinic/Center | 401 Munson Ave, Traverse City, MI 49686-3041 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1407016652 | James Hsu | Emergency Medicine | 5762 Galvin Rd, Traverse City, MI 49684-7966 | 2008-06-11 |
| 1134166473 | Jurgen Gernot Runschke | Emergency Medicine | 880 Munson Ave Ste A, Traverse City, MI 49686-3661 | 2006-06-02 |
| 1154392991 | Laurie Maria Hosey | Emergency Medicine | 4075 Copper Ridge Dr., Eci, Traverse City, MI 49684 | 2006-01-30 |
| 1760864102 | Karan D Mehta | Emergency Medicine | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2015-06-22 |
| 1710305958 | William Ulmer Britton Iv | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2345 | 2014-04-04 |
| 1013342112 | Advanced Wound Care & Hyperbaric Physicians of Traverse City, Plc | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2013-09-08 |
| 1568800480 | Laura Santoro | Emergency Medicine | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2013-06-13 |
| 1851671697 | Traverse Observation Physician Services PC | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2345 | 2011-08-25 |
| 1821322629 | Melanie M. Rohan | Emergency Medicine | 4075 Copper Ridge Dr, Traverse City, MI 49684-7059 | 2009-09-25 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on DR. MICHAEL J PARKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.