KEIRA DUVERNOY, DO, PC (NPI# 1699070870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699070870 |
| Entity Type | Organization |
| Organization Name | KEIRA DUVERNOY, DO, PC |
| Other Organization Name | CENTER FOR INTEGRATIVE MEDICINE, PC |
| Practice Address |
697 Hannah Ave Suite D Traverse City MI 49686-2201 |
| Practice Telephone | 2319470900 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-27 |
| Authorized Official Name | KEIRA DUVERNOY (PRESIDENT) |
| Authorized Official Telephone | 2319470900 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101009710 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI1 | 1548234180 | 01 |
| Other Name | Type Code |
|---|---|
| CENTER FOR INTEGRATIVE MEDICINE, PC | Other Name - Individual/Organization |
| Street Address |
697 HANNAH AVE SUITE D |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447291687 | Amy Borgman | Psychologist | 697 Hannah Ave, Ste D, Traverse City, MI 49686-3399 | 2006-06-09 |
| 1346450079 | Elizabeth Ann Thompson | Social Worker | 697 Hannah Ave, Ste C, Traverse City, MI 49686-3399 | 2007-05-23 |
| 1407976079 | Barbara Jean Kennison | Registered Nurse | 697 Hannah Ave, Traverse City, MI 49686-3399 | 2007-03-29 |
| 1407937865 | Carol Urquhart Kindt | Social Worker | 697 Hannah Ave, Suite C, Traverse City, MI 49686-3399 | 2006-10-18 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600116 | Douglas Wigton | General Practice | 3271 Racquet Club Dr, Traverse City, MI 49684-4708 | 2005-12-21 |
| 1225014715 | Shepherd of Hope Clinic PC | General Practice | 1028 Hannah Ave, Suite D, Traverse City, MI 49686-2963 | 2005-12-16 |
| 1134422777 | Bayside Doc's Urgent Care Office | General Practice | 401 Munson Ave, Traverse City, MI 49686-3041 | 2010-12-20 |
| 1518147149 | James Robert Frew Jr. | General Practice | 814 S Garfield Ave, Ste C, Traverse City, MI 49686-2401 | 2007-11-12 |
| 1972797652 | Village Family Practice Plc | General Practice | 810 Cottageview Dr, Traverse City, MI 49684 | 2007-09-05 |
| 1477642874 | Stephen L Morgan | General Practice | 550 Munson Ave, Traverse City, MI 49686-3580 | 2006-10-12 |
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| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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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.