Organization Active NPI

Pathways Integrative and Lifestyle Medicine PC

  • Medical Specialty Clinic/Center
  • Traverse City, MI
National Provider Identifier
1053009605
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PATHWAYS INTEGRATIVE AND LIFESTYLE MEDICINE PC
Practice address
3963 W Royal Dr
Traverse City, MI 49684-9200
Phone
(231) 690-7452
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David May, DO
Title
Co Owner
Phone
(231) 645-1425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3963 W Royal Dr
Traverse City, MI 49684-9200

Mailing address

3963 W Royal Dr
Traverse City, MI 49684-9200
Phone (231) 690-7452

National Provider Directory

National Provider Directory

Locations

3988 W Royal Dr
Traverse City, MI 49684
Phone (231) 421-1599

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1053009605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849200",
            "telephone_number": "231-690-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849200",
            "telephone_number": "231-690-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS INTEGRATIVE AND LIFESTYLE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "231-645-1425",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.