USCG AIRSTA TRAVERSE CITY CLINIC (NPI# 1942384409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942384409 |
| Entity Type | Organization |
| Organization Name | USCG AIRSTA TRAVERSE CITY CLINIC |
| Practice Address |
1175 Airport Access Rd Traverse City MI 49686-3513 |
| Practice Telephone | 2319228282 |
| Practice Fax Number | 2319228292 |
| Mailing Telephone | 2319228282 |
| Mailing Fax Number | 2319228292 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KELLY LOUISE BUTTRICK (CHIEF HEALTH SERVICES) |
| Authorized Official Telephone | 2319228282 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1175 AIRPORT ACCESS RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275508665 | Anthony Wayne Oldham | Technician, Other | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-02-21 |
| 1922199462 | Uscg Medical Center | Clinic/Center | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-09-28 |
| 1558452938 | Charles Hubbard Williams IIi | Military Health Care Provider | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-09-28 |
| 1891892642 | Traverse City Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-09-20 |
| 1578678728 | Harry Seung-shik Ko | Family Medicine | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-08-20 |
| 1760415137 | Airstation Traverse City | Exclusive Provider Organization | 1175 Airport Access Rd, Flight Med Clinic, Traverse City, MI 49686-3513 | 2006-07-09 |
| 1568437358 | Lisa Jean Price | Technician, Other | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-02-23 |
| 1265407191 | Matthew Todd Benton | Military Health Care Provider | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-02-22 |
| 1477528768 | Crystal Marie Synkiew | Technician, Other | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-02-21 |
| 1952376212 | Adriano Oliveira Silva | Technician, Other | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-02-21 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1932598976 | Ranger Vascular and Vein Center Pllc | Clinic/Center | 1225 W Front St, Suite B, Traverse City, MI 49684-2368 | 2015-01-14 |
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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 | 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.