MARISSA WALKERDINE ROGERS DO PC


Address: 872 Munson Ave, Suite D, Traverse City, MI 49686-3638
Phone: 2319220400

MARISSA WALKERDINE ROGERS DO PC (NPI# 1821274150) 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) 1821274150
Entity Type Organization
Organization Name MARISSA WALKERDINE ROGERS DO PC
Practice Address 872 Munson Ave
Suite D
Traverse City
MI 49686-3638
Practice Telephone 2319220400
Practice Fax Number 2319223063
Mailing Telephone 2319220400
Mailing Fax Number 2319223063
Enumeration Date 2008-01-16
Last Update Date 2008-01-16
Authorized Official Name DR. MARISSA WALKERDINE ROGERS (PROPRIETOR)
Authorized Official Telephone 2319220400
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 5101016224 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 872 MUNSON AVE
SUITE D
City TRAVERSE CITY
State MI
Zip Code 49686-3638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821087560 Peter D Fedor Ophthalmology 872 Munson Ave, Suite B, Traverse City, MI 49686-3638 2005-10-16
1588906119 Adaptive Counseling and Case Management, LLC Clinic/Center 872 Munson Ave, Ste D, Traverse City, MI 49686-3638 2013-03-21
1326339755 Kevin Mark Debruyn Social Worker 872 Munson Ave, Suite D, Traverse City, MI 49686-3638 2011-04-19
1417135922 Mary Terese Meernik Optometrist 872 Munson Ave, Suite B, Traverse City, MI 49686-3638 2008-02-06
1699957571 Brookside Family Medicine A Center for Health and Well-being Plc Family Medicine 872 Munson Ave, Ste D, Traverse City, MI 49686-3638 2007-12-03
1164552972 Great Lakes Eye Consultants Plc Ophthalmology 872 Munson Ave, Suite B, Traverse City, MI 49686 2007-03-07
1255418158 Paul L Kropf Optometrist 872 Munson Ave, Suite A, Traverse City, MI 49686-3638 2006-11-01

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City TRAVERSE CITY
Zip Code 49686

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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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