GREAT LAKES ORTHOPAEDIC CENTER


Address: 4045 W Royal Dr, Traverse City, MI 49684-8965
Phone: 2319350900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital Hospitals

Office Location

Street Address 4045 W ROYAL DR
City TRAVERSE CITY
State MI
Zip Code 49684-8965

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City TRAVERSE CITY
Zip Code 49684

Improve Information

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Dataset Information

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.

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