REGENTS OF THE UNIVERSITY OF MICHIGAN


Address: 1200 Sixth St, Suite 100, Traverse City, MI 49684-2369
Phone: 2319355000

REGENTS OF THE UNIVERSITY OF MICHIGAN (NPI# 1992081640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992081640
Entity Type Organization
Organization Name REGENTS OF THE UNIVERSITY OF MICHIGAN
Practice Address 1200 Sixth St
Suite 100
Traverse City
MI 49684-2369
Mailing Address 3621 S State St
700 Kms Place
Ann Arbor
MI 48108
Practice Telephone 2319355000
Mailing Telephone 7349362047
Enumeration Date 2011-10-26
Last Update Date 2011-10-26
Authorized Official Name DAVID A SPAHLINGER (EXEC MEDICAL DIRECTOR FACULTY GRP)
Authorized Official Telephone 7349363568
Is Organization Subpart Y
Parent Organization Name REGENTS OF THE UNIVERSITY OF MICHIGAN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics MI Allopathic & Osteopathic Physicians
Y 2080P0216X Pediatrics
Specialization: Pediatric Rheumatology
MI Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184102774 Regents of The University of Michigan Prosthetic/Orthotic Supplier 7500 Challis Rd Ste 1000, Brighton, MI 48116-9416 2018-08-06
1053818633 Regents of The University of Michigan Eyewear Supplier (Equipment, not the service) 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 2018-04-10
1619474376 Regents of The University of Michigan Eyewear Supplier (Equipment, not the service) 39901 Traditions Dr Ste 230, Northville, MI 48168 2018-04-10
1619474491 Regents of The University of Michigan Eyewear Supplier (Equipment, not the service) 1974 N Huron River Dr Ste 100, Ypsilanti, MI 48197-1894 2018-04-09
1114345428 Regents of The University of Michigan Hearing Aid Equipment 475 Marketplace, Ann Arbor, MI 48108 2014-04-03
1487833588 Regents of The University of Michigan Anesthesiology 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 2007-10-25
1801933254 Regents of The University of Michigan Clinic/Center 4270 Plymouth Rd, Ann Arbor, MI 48109-2700 2007-02-01
1003967035 Regents of The University of Michigan Pharmacy 1500 E Medical Center Dr Spc 5008, Spc 5008, Ann Arbor, MI 48109-5008 2007-01-16
1770508350 Regents of The University of Michigan Podiatrist 400 E Eisenhower Pkwy, Suite B, Ann Arbor, MI 48108 2006-07-13
1902821572 Regents of The University of Michigan Optometrist 5728 Whitmore Lake Rd, Brighton, MI 48116 2006-07-13

Office Location

Street Address 1200 SIXTH ST
SUITE 100
City TRAVERSE CITY
State MI
Zip Code 49684-2369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174522429 Steven T Mast Internal Medicine 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 2005-07-19
1457913337 Hannah M Popa Nurse Practitioner 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 2019-07-01
1396106266 Edward Kraska Nurse Practitioner 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 2016-03-18
1386000370 Michelle Strange Physician Assistant 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 2016-01-07
1295153062 Barbara Rogers Obstetrics & Gynecology 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 2014-03-31
1033458534 Meghan J Visnick Nurse Practitioner 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 2013-02-05
1942552559 Grand Traverse Womens Clinic Nurse Practitioner 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 2012-10-05
1427308626 Sarah K Torres Nurse Practitioner 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 2012-09-14
1821398322 Munson Medical Group Internal Medicine 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 2010-10-30
1518286046 John L Coatney Internal Medicine 1200 Sixth St, Traverse City, MI 49684 2010-05-24
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2080P0216X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Rheumatology

Taxonomy Definition

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033524335 Regents of The University of Michigan Pediatrics 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105 2014-06-25
1306251699 Regents of The University of Michigan Pediatrics 8001 Challis Road, Brighton, MI 48116 2014-06-25
1649492802 Elizabeth Anne Kessler Pediatrics 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 2007-05-03
1205879954 Basil M Fathalla Pediatrics 3901 Beaubien St, Children's Hospital of Mi, Detroit, MI 48201-2119 2006-06-13
1275502445 Mary D Moore Pediatrics 1000 Oakland Dr, Kalamazoo, MI 49008-1282 2006-03-17

Competitor

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City TRAVERSE CITY
Zip Code 49684

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Dataset Information

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.

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