Active NPI
Rising Star Wellness Center PLC
- Family Medicine Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RISING STAR WELLNESS CENTER PLC
- Practice address
- 3189 Logan Valley Rd
Traverse City, MI 49684-4772 - Phone
- (231) 932-1988
- NPI assigned
- May 16, 2006
- Last updated
- Jun 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Flora Ermenia Biancalana, MD
- Title
- Owner
- Phone
- (231) 932-1988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
3189 Logan Valley Rd
Traverse City, MI 49684-4772
Mailing address
3189 Logan Valley Rd
Traverse City, MI 49684-4772
Phone (231) 932-1988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4291443 10 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
3250 Racquet Club Dr
Traverse City, MI 49684
Phone (231) 932-1988
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1649238098
-
- Family Nurse Practitioner
- Traverse City, MI
- NPI 1265517494
-
- Clinical Psychologist
- Traverse City, MI
- NPI 1619117967
-
- Chiropractor
- Traverse City, MI
- NPI 1528049442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371168000000",
"number": "1215988845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3189 LOGAN VALLEY RD",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844772",
"telephone_number": "231-932-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3189 LOGAN VALLEY RD",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844772",
"telephone_number": "231-932-1988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING STAR WELLNESS CENTER PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2013-06-14",
"status": "A",
"authorized_official_last_name": "BIANCALANA",
"authorized_official_first_name": "FLORA",
"authorized_official_middle_name": "ERMENIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-932-1988",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4291443 10",
"state": "MI"
}
],
"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 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.