Organization Active NPI

Northwest Michigan Heart & Vascular Specialists

  • Cardiovascular Disease Physician
  • Traverse City, MI
National Provider Identifier
1245497858
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301075408 Issued in MI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Michael A Lauer, MDNPI 1407890536
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0602810871OtherMIBCBS OF MICH
1407890536OtherMIINDIVIDUAL NPI
0281087OtherMIBCBS OF MICH
1245497858MedicaidMI
1407890536MedicaidMI
0602810871OtherMIBLUE CARE NETWORK
0281087OtherMIBLUE CARE NETWORK
1245497858OtherMICORP NPI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.