RANGER VASCULAR AND VEIN CENTER PLLC (NPI# 1932598976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932598976 |
| Entity Type | Organization |
| Organization Name | RANGER VASCULAR AND VEIN CENTER PLLC |
| Practice Address |
1225 W Front St Suite B Traverse City MI 49684-2368 |
| Practice Telephone | 2313601775 |
| Practice Fax Number | 2314866067 |
| Mailing Telephone | 2313601775 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-24 |
| Authorized Official Name | WILLIAM RANGER (OWNER) |
| Authorized Official Telephone | 2313601775 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
E5524D | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 0280224 | 01 |
| MI | 4211489 | 05 | |
| MI | INDIVIDUAL NPI | 1235121989 | 01 |
| MI | CAQH ID | 11286550 | 01 |
| Street Address |
1225 W FRONT ST SUITE B |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891973 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1225 W Front St, Suite A, Traverse City, MI 49684-2317 | 2005-06-16 |
| 1679957617 | Crystal Lake Clinic P.C. | Family Medicine | 1225 W Front St, Suite C, Traverse City, MI 49684-2368 | 2015-07-18 |
| 1558647354 | Maria I Cupp | Physician Assistant | 1225 W Front St, Traverse City, MI 49684-2368 | 2011-10-25 |
| 1588897896 | Matthew R Jackson | Family Medicine | 1225 W Front St, Traverse City, MI 49684-2368 | 2009-09-02 |
| 1104051184 | Jennifer Nicole Drake | Physical Therapist | 1225 W Front St, Traverse City, MI 49684-2368 | 2009-05-20 |
| 1275743767 | Sarah Mae Bancroft-treadway | Family Medicine | 1225 W Front St, Traverse City, MI 49684-2368 | 2007-05-23 |
| 1407906241 | David Jay Lyons | Physical Therapist | 1225 W Front St, Traverse City, MI 49684-2368 | 2007-01-12 |
| 1801979679 | Patricia Renee Tkach | Physical Therapist | 1225 W Front St, Traverse City, MI 49684-2368 | 2006-10-23 |
| 1790875649 | Douglas M Spence Jr. | Family Medicine | 1225 W Front St, Traverse City, MI 49684-2317 | 2006-10-13 |
| 1891717039 | Meredith L Mcdonald | Physician Assistant | 1225 W Front St, Traverse City, MI 49684-2368 | 2006-07-24 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942384409 | Uscg Airsta Traverse City Clinic | Clinic/Center | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-10-24 |
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|---|---|---|---|---|
| 1346866167 | God's Path Community Services | Clinic/Center | 2500 Lemay St, Detroit, MI 48214-3146 | 2020-06-17 |
| 1487280681 | Aml Medical Pllc | Clinic/Center | 16584 Westbrook St, Detroit, MI 48219-3870 | 2020-03-19 |
| 1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
| 1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
| 1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
| 1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
| 1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
| 1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
| 1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
| 1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on RANGER VASCULAR AND VEIN CENTER PLLC.
| 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.