Georganne Roberta Verigan, PHD, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5401000068 Issued in MI

Practice address

601 E Lakeshore Dr
Suite 102
Manistique, MI 49854-1692

Phone

(906) 286-0198

NPI assigned

Nov 12, 2012

Last updated

Nov 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acupuncture & Therapeutic Massage

  • Acupuncturist
  • Manistique, MI
  • NPI 1790188449
  NPD (past) Authorized official

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1184968349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E LAKESHORE DR",
            "address_2": "SUITE 102",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541692",
            "telephone_number": "906-286-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E LAKESHORE DR",
            "address_2": "SUITE 102",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541692",
            "telephone_number": "906-286-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERIGAN",
        "first_name": "GEORGANNE",
        "middle_name": "ROBERTA",
        "credential": "PHD, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5401000068",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NH",
            "license": "NH-140",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "649-055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa D Tatrow
• Breanna Trail
• Samantha Troxler
• Sarah Bess Unger
• Robert J Urban, M.D.
• Maegan Wickstrom, LLMSW
• Deborah Zellar, M.S.W.

• Acupuncturist in Manistique, MI
• Providers in Manistique, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.