Organization Active NPI

Peter T McAndrews III DO, PC

  • Orthopaedic Surgery Physician
  • Traverse City, MI
National Provider Identifier
1194763334
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101011731 Issued in MI
Legal business name
PETER T MCANDREWS III DO, PC
Practice address
5246 N Royal Dr
Suite a
Traverse City, MI 49684-6984
Phone
(231) 935-0957
Fax
(231) 935-0960
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Peter Thomas McAndrews III, DO
Title
Doctor
Phone
(231) 935-0957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 5101011731 MI Primary

Addresses

Primary practice location

5246 N Royal Dr
Suite a
Traverse City, MI 49684-6984

Mailing address

5246 N Royal Dr
Suite a
Traverse City, MI 49684-6984
Phone (231) 935-0957

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1194763334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 N ROYAL DR",
            "address_2": "SUITE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846984",
            "telephone_number": "231-935-0957",
            "fax_number": "231-935-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 N ROYAL DR",
            "address_2": "SUITE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846984",
            "telephone_number": "231-935-0957",
            "fax_number": "231-935-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T MCANDREWS III DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "MCANDREWS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "231-935-0957",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101011731",
            "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 18, 2010; 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.