KEIRA DUVERNOY (NPI# 1548234180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548234180 |
| Entity Type | Individual |
| Full Name | KEIRA DUVERNOY |
| Credential | DO |
| Practice Address |
697 Hannah Ste A Center for Integrative Medicine PC Traverse City MI 49686 |
| Practice Telephone | 2319470900 |
| Practice Fax Number | 2319479273 |
| Mailing Telephone | 2319470900 |
| Mailing Fax Number | 2319479273 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
5101009710 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 5101009710 | 01 |
| Street Address |
697 HANNAH STE A CENTER FOR INTEGRATIVE MEDICINE PC |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306928841 | Northshore Rehab Pllc | Physical Medicine & Rehabilitation | 901 W Front St, Suite B, Traverse City, MI 49684-2374 | 2006-10-20 |
| 1245283365 | Rheumatology Consulting PC | Physical Medicine & Rehabilitation | 1115 S Union St, Traverse City, MI 49684-3258 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720629157 | Commerce Sports and Spine Pllc | Physical Medicine & Rehabilitation | 29877 Telegraph Rd Ste 400, Southfield, MI 48034-7661 | 2019-10-07 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1861930109 | Excel Physical Medicine and Rehabilitation PC | Physical Medicine & Rehabilitation | 6089 W Maple Rd, Suite 250a, West Bloomfield, MI 48322-2286 | 2017-02-07 |
| 1447611926 | Detroit Institute of Pain & Musculoskeletal Medicine | Physical Medicine & Rehabilitation | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2016-03-11 |
| 1710355482 | Michigan Center for Regenerative Medicine Pllc | Physical Medicine & Rehabilitation | 1349 S Rochester Rd Ste 130, Rochester Hills, MI 48307-3152 | 2015-09-10 |
| 1396128021 | Michael Bonnette | Physical Medicine & Rehabilitation | 18312 Middlebelt Rd, Livonia, MI 48152-5007 | 2015-06-30 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1629328232 | Michigan Comprehensive Spine & Rehab PC | Physical Medicine & Rehabilitation | 29877 Telegraph Rd Ste 403, Southfield, MI 48034-1332 | 2012-09-12 |
| 1083996102 | Winchester Services LLC | Physical Medicine & Rehabilitation | 18470 Santa Ann Ave., Lathrup Village, MI 48076-4525 | 2011-09-14 |
| 1508008814 | Nmrs, P.C. | Physical Medicine & Rehabilitation | 267 Creekside Dr, Suite 200, Petoskey, MI 49770-7609 | 2009-04-01 |
| 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.