MICHELLE MANLEY (NPI# 1720438385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720438385 |
| Entity Type | Individual |
| Full Name | MICHELLE MANLEY |
| Credential | DO |
| Practice Address |
1400 Medical Campus Dr Traverse City MI 49684-7823 |
| Mailing Address |
400 Hobart St C/o Heather Byers Cadillac MI 49601-2331 |
| Practice Telephone | 2319358000 |
| Practice Fax Number | 2319358099 |
| Mailing Telephone | 2318767807 |
| Mailing Fax Number | 2318767176 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101022365 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Hobart St, C/o Heather Byers, Cadillac, MI 496012331 | 2318767807 | 2318767176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689839771 | Michelle Manley | Speech-Language Pathologist | 210 W Paradise Rd, Cheney, WA 99004-8631 | 2008-07-28 |
| 1063836336 | Michelle Renee Manley | Physical Therapist | 1006 Bankton Cir, Building B, Hanahan, SC 29410-2957 | 2014-02-07 |
| Street Address |
1400 MEDICAL CAMPUS DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-7823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922030162 | Munson Medical Center | Family Medicine | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2006-07-07 |
| 1134748650 | Miriam Janelle Rienstra-bareman | Student in an Organized Health Care Education/Training Program | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2020-04-14 |
| 1427677608 | Adrianna Margaux Thibault | Student in an Organized Health Care Education/Training Program | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2020-04-08 |
| 1437788841 | Cynthia Wang | Student in an Organized Health Care Education/Training Program | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2020-04-07 |
| 1568091874 | Jason Skylar Schreiber | Student in an Organized Health Care Education/Training Program | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2020-04-07 |
| 1063041465 | Elizabeth Lynnelle Godfrey | Student in an Organized Health Care Education/Training Program | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2020-04-07 |
| 1861047060 | Munson Medical Group | Family Medicine | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2019-08-05 |
| 1932763125 | Rebecca J Byrnes | Student in an Organized Health Care Education/Training Program | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2019-04-24 |
| 1841854031 | Eden Elfrink | Student in an Organized Health Care Education/Training Program | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2019-04-24 |
| 1013571207 | Lucas P Friedli | Student in an Organized Health Care Education/Training Program | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2019-04-24 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780177410 | Asclepius Borealis, Plc | Family Medicine | 42 N W Silver Lake Rd, Traverse City, MI 49685-8536 | 2018-06-07 |
| 1700260015 | Robert Jason | Family Medicine | 2728 Old Farm Ln, Traverse City, MI 49685-9066 | 2015-07-16 |
| 1033403779 | Donald James Aiken | Family Medicine | 16544 Wrightwood Terrace Dr, Traverse City, MI 49686-8342 | 2011-05-28 |
| 1447436480 | Carolyn C Moats, M.d. Plc | Family Medicine | 207 Circle Dr, Traverse City, MI 49684-2347 | 2008-01-19 |
| 1891994026 | April Elizabeth Kurkowski | Family Medicine | 10850 E Traverse Hwy Ste 4400, Traverse City, MI 49684-1320 | 2007-07-17 |
| 1104963115 | Debra Kay Graetz | Family Medicine | 647 E Eighth St, Traverse City, MI 49686-2682 | 2007-01-31 |
| 1184799199 | Jay Albert Klein | Family Medicine | 2950 Lafranier, Traverse City, MI 49686-4918 | 2006-11-22 |
| 1720157688 | Mark A Priest | Family Medicine | 945 E 8th St Ste B, Traverse City, MI 49686-2895 | 2006-11-07 |
| 1972680411 | Lynn Lapointe Swan | Family Medicine | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2006-11-01 |
| 1073608568 | Gary Stephen Ruoff | Family Medicine | 201 South Garfield Ave, Traverse City, MI 49686 | 2006-10-03 |
| Find all providers in TRAVERSE CITY | ||||
| 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.