GRAND TRAVERSE ALLERGY PC (NPI# 1518091321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518091321 |
| Entity Type | Organization |
| Organization Name | GRAND TRAVERSE ALLERGY PC |
| Practice Address |
3899 W Front St Ste 1 Traverse City MI 49684 |
| Mailing Address |
3899 W Front St Ste 1 Traverse City MI 49684-8104 |
| Practice Telephone | 2319953657 |
| Practice Fax Number | 9494378317 |
| Mailing Telephone | 2319953657 |
| Mailing Fax Number | 9494378317 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | MRS. HEATHER WIERMAN (OFFICE MANAGER) |
| Authorized Official Telephone | 2319953657 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 921 W Front St, Traverse City, MI 496842327 | 2319953657 | 2319953658 |
| Street Address |
3899 W FRONT ST STE 1 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684 |
| 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 | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089073 | James Steele Mcclellan IIi | Allergy & Immunology | 447 Munson Ave, Traverse City, MI 49686-3084 | 2006-03-30 |
| 1831388537 | Bayside Allergy, P.C. | Allergy & Immunology | 447 Munson Ave, Traverse City, MI 49686-3084 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902120553 | Virginia Mary Caradonna-graham | Allergy & Immunology | 1744 Heron Ridge Dr, Bloomfield Hills, MI 48302-0723 | 2010-03-24 |
| 1538399613 | Dariush J Orandi | Allergy & Immunology | 2221 Health Dr Sw Ste 1400, Wyoming, MI 49519-9681 | 2009-07-22 |
| 1609005214 | Wendy M Gould | Allergy & Immunology | 1 Ford Pl # 4b, Allergy & Immunology, Detroit, MI 48202-3450 | 2009-07-06 |
| 1609068303 | S William Paris Md PC | Allergy & Immunology | 16801 Newburgh Rd Ste 106, Livonia, MI 48154-1606 | 2007-08-16 |
| 1194928994 | Elena Jean Lewis | Allergy & Immunology | 1324 W Milham Ave, Suite 1, Portage, MI 49024-2239 | 2007-06-08 |
| 1699818617 | Truecare Asthma and Allergy Center | Allergy & Immunology | 21700 Northwestern Highway, Suite 835, Southfield, MI 48075-4902 | 2007-02-15 |
| 1356435978 | Valley Allergy Clinic, P.C. | Allergy & Immunology | 3210 Hallmark Court, Saginaw, MI 48603-2108 | 2006-10-03 |
| 1093720740 | Asthma, Allergy and Sinus Center, PC | Allergy & Immunology | 115 N Delaware St, Sandusky, MI 48471-1008 | 2006-07-30 |
| 1205851326 | Kanti Hiralal Shah | Allergy & Immunology | 814 N Macomb St, Monroe, MI 48162-2930 | 2006-07-12 |
| 1457382939 | Mutee Husein Abdeljaber | Allergy & Immunology | 634 N State St, Caro, MI 48723-1544 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on GRAND TRAVERSE ALLERGY PC.
| 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.