Active NPI
Northwest Michigan Heart & Vascular Specialists
- Cardiovascular Disease Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301075408
- Legal business name
- NORTHWEST MICHIGAN HEART & VASCULAR SPECIALISTS
- Practice address
- 3529 W Front St
Suite B
Traverse City, MI 49684-9689 - Phone
- (231) 935-0335
- Fax
- (231) 935-0336
- NPI assigned
- May 21, 2008
- Last updated
- Aug 14, 2008
- 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
- Dr. Michael A Lauer, MD
- Title
- Physician/Owner
- Phone
- (231) 935-0335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301075408 | MI | Primary |
Addresses
Primary practice location
3529 W Front St
Suite B
Traverse City, MI 49684-9689
Mailing address
2393 Momentum PL
Chicago, IL 60689-0001
Phone (231) 935-0335
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0602810871 | Other | MI | BCBS OF MICH |
| 1407890536 | Other | MI | INDIVIDUAL NPI |
| 0281087 | Other | MI | BCBS OF MICH |
| 1245497858 | Medicaid | MI | |
| 1407890536 | Medicaid | MI | |
| 0602810871 | Other | MI | BLUE CARE NETWORK |
| 0281087 | Other | MI | BLUE CARE NETWORK |
| 1245497858 | Other | MI | CORP NPI |
National Provider Directory
National Provider DirectoryLocations
2393 Momentum Pl
Chicago, IL 60689
1320 E M 32
Lowr
Gaylord, MI 49735
Phone (989) 731-7880
3529 W Front St
Ste B
Traverse City, MI 49684
Phone (231) 935-0335
6450 Farmington Rd
Ste 200
West Bloomfield, MI 48322
Phone (247) 788-4278
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Cardiology Physician
- Midland, MI
- NPI 1407890536
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1245497858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2393 MOMENTUM PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606890001",
"telephone_number": "231-935-0335",
"fax_number": "231-935-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3529 W FRONT ST",
"address_2": "SUITE B",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496849689",
"telephone_number": "231-935-0335",
"fax_number": "231-935-0336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST MICHIGAN HEART & VASCULAR SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "LAUER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "231-935-0335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301075408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICH",
"identifier": "0602810871",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1407890536",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICH",
"identifier": "0281087",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245497858",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407890536",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "0602810871",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "0281087",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP NPI",
"identifier": "1245497858",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
- Northwest Michigan Health Services Inc.
- Northwest Michigan Health Services, Inc
- Northwest Michigan Health Services, Inc
- Northwest Michigan Health Services, Inc.
- Northwest Michigan Health Services, Inc.
- Northwest Michigan Surgery Center LLC (Copper Ridge Surgery Center)
- Northwest Michigan Surgical Group, P.C.
- Northwest Senior Resources Incorporated (Area Agency on Aging of Northwest Michigan)
- Northwestern Michigan College (Northwestern Michigan College Student Health Services)
- Northwestern Michigan Dermatology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.