Organization Active NPI

Aevitas Medical Consultants PLC

  • Internal Medicine Physician
  • Traverse City, MI
National Provider Identifier
1144007436
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AEVITAS MEDICAL CONSULTANTS PLC
Practice address
109 E Front St Ste 210
Traverse City, MI 49684-5705
Phone
(248) 229-8323
Fax
(231) 346-6051
NPI assigned
Sep 11, 2023
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr Jeffrey Valice, DO
Title
Owner
Phone
(248) 229-8323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

109 E Front St Ste 210
Traverse City, MI 49684-5705

Mailing address

109 E Front St Ste 210
Traverse City, MI 49684-5705
Phone (248) 229-8323

National Provider Directory

National Provider Directory

Locations

625 Kenmoor Ave SE
Ste 35062362
Grand Rapids, MI 49546

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1144007436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E FRONT ST STE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845705",
            "telephone_number": "248-229-8323",
            "fax_number": "231-346-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E FRONT ST STE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845705",
            "telephone_number": "248-229-8323",
            "fax_number": "231-346-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEVITAS MEDICAL CONSULTANTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "VALICE",
        "authorized_official_first_name": "DR JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-229-8323",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "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 Jun 7, 2024; 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.