GREAT LAKES ORTHOPAEDIC CENTER (NPI# 1629234042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629234042 |
Entity Type | Organization |
Organization Name | GREAT LAKES ORTHOPAEDIC CENTER |
Practice Address |
4045 W Royal Dr Traverse City MI 49684-8965 |
Practice Telephone | 2319350900 |
Mailing Telephone | 2319350900 |
Enumeration Date | 2008-08-05 |
Last Update Date | 2014-02-19 |
Authorized Official Name | DR. THOMAS VINCENT O'HAGAN (SPORTS MEDICINE ORTHOPAEDIC SURGEON) |
Authorized Official Telephone | 2319350900 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | Hospitals |
Street Address |
4045 W ROYAL DR |
City | TRAVERSE CITY |
State | MI |
Zip Code | 49684-8965 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336141704 | Jeff Philip Burke | Physical Therapist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2005-08-15 |
1417563073 | Madeline Adams | Nurse Practitioner | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2020-09-18 |
1043845928 | Kolleen Werly | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2020-03-11 |
1821599374 | Spencer Popp | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2018-02-21 |
1851832844 | Danielle Muszynski | Nurse Practitioner | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2017-03-10 |
1902233471 | Trisha Rae Zelinski | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2013-09-30 |
1124316096 | Janice Mary Cobb | Physical Therapist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2011-07-13 |
1952691768 | Alisha Marie Cole | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2011-04-13 |
1306154505 | Karen Allison Miller | Specialist/Technologist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2010-09-22 |
1114232279 | Shelly R King | Physical Therapy Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2010-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
Find all providers in zip 49684 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770739070 | Traverse Anesthesia Associates | General Acute Care Hospital | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2008-08-18 |
1952307852 | Munson Medical Center | General Acute Care Hospital | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740899194 | Ascension Michigan Employer Solutions LLC | General Acute Care Hospital | 5555 Conner St Ste 2818, Detroit, MI 48213-3448 | 2020-07-30 |
1295246106 | Henry Ford Health Sytems | General Acute Care Hospital | 18800 Hubbard Dr, Dearborn, MI 48126-4305 | 2017-10-18 |
1972043081 | Melissa Kovaleski | General Acute Care Hospital | 1029 Chestnut Ln, South Lyon, MI 48178-1896 | 2017-03-08 |
1699125922 | Sarah Finlay | General Acute Care Hospital | 5333 Mcauley Dr Ste 40001, Ypsilanti, MI 48197-1014 | 2016-06-17 |
1528412517 | Bess Marie Connors | General Acute Care Hospital | 1506 Pontiac Trl, Ann Arbor, MI 48105-1719 | 2016-04-16 |
1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
1326428285 | Ipc Hospitalist Company | General Acute Care Hospital | 1628 Huntwood Park Ct, West Bloomfield, MI 48324-3998 | 2015-06-05 |
1689088304 | Florida Hospital | General Acute Care Hospital | 7922 Barrie, Dearborn, MI 48126 | 2014-06-20 |
1720491954 | University of Michigan | General Acute Care Hospital | 1515 E. Hospital Drive, Towsley Center, 1218, Spc 5222, Ann Arbor, MI 48109-5222 | 2014-06-05 |
1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
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City | TRAVERSE CITY |
Zip Code | 49684 |
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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.