SPENCER POPP (NPI# 1821599374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821599374 |
| Entity Type | Individual |
| Full Name | SPENCER POPP |
| Credential | PA-C |
| Practice Address |
4045 W Royal Dr Traverse City MI 49684-8965 |
| Mailing Address |
1105 Sixth St Traverse City MI 49684-2345 |
| Practice Telephone | 2319350900 |
| Practice Fax Number | 2319350308 |
| Mailing Telephone | 2319357514 |
| Mailing Fax Number | 2313920039 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008584 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 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 |
| 1942533534 | Courtney Marie Greening | Physical Therapist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2009-09-14 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1922381995 | Emily E Seal | Physician Assistant | 1221 6th St Ste 208, Traverse City, MI 49684-2360 | 2011-09-26 |
| 1881896942 | Svea Perai Kayann Wikstrand | Physician Assistant | 13919 S West Bay Shore Dr, Ste G-01, Traverse City, MI 49684-6216 | 2007-06-01 |
| 1245340256 | Lori L. Hopkins | Physician Assistant | Bayside Allergy, 447 Munson Ave., Traverse City, MI 49686 | 2006-08-30 |
| 1417973231 | Kenneth H Warner | Physician Assistant | 3537 W Front St Ste E, Traverse City, MI 49684-7943 | 2006-07-14 |
| 1881650935 | Darnell B Ganley | Physician Assistant | 4075 Copper Ridge Dr, Traverse City, MI 49684-7059 | 2006-04-25 |
| 1942295274 | Karri Elizabeth Vaughan | Physician Assistant | 4624 N Spider Lake Rd, Traverse City, MI 49696-8440 | 2005-09-13 |
| 1003415118 | Munson Medical Center | Physician Assistant | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2020-10-20 |
| 1821611732 | Kathryn Mae Mcgowan | Physician Assistant | 4075 Copper Ridge Dr, Traverse City, MI 49684-7059 | 2020-05-26 |
| 1043845928 | Kolleen Werly | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2020-03-11 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on SPENCER POPP.
| 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.