NPIMap

Organization Active NPI

True North Medical PC

  • Urgent Care Clinic/Center
  • Traverse City, MI
National Provider Identifier
1295564391
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TRUE NORTH MEDICAL PC
Practice address
630 W 14TH St
Traverse City, MI 49684-4050
Phone
(231) 674-4043
Fax
(231) 421-7993
NPI assigned
Jul 29, 2024
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Dr. Stephen Vander Roest, MDNPI 1386627917
Title
Owner
Phone
(231) 252-1810

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

630 W 14TH St
Traverse City, MI 49684-4050

Mailing address

630 W 14TH St
Traverse City, MI 49684-4050
Phone (231) 252-1810

Other practice location 1

4290 US 31 N
Traverse City, MI 49686-3761
Phone (231) 252-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912000235 MI Part B Supplier - Clinic/Group Practice 7315487790 Receives reassigned benefits from 15 practitioners
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

4290 US 31 N
Traverse City, MI 49686
Phone (231) 252-1810

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1295564391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 14TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844050",
            "telephone_number": "231-252-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 14TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844050",
            "telephone_number": "231-674-4043",
            "fax_number": "231-421-7993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4290 US 31 N",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863761",
            "country_code": "US",
            "telephone_number": "231-252-1810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUE NORTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "VANDER ROEST",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-252-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.