Active NPI
Traveling Care Physicians PLLC
- Emergency Medicine Physician
- Goodrich, MI
National Provider Identifier
1306415286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- TRAVELING CARE PHYSICIANS PLLC
- Practice address
- 9471 Ridge Rd
Goodrich, MI 48438-9480 - Phone
- (248) 642-9893
- NPI assigned
- Jun 23, 2021
- Last updated
- Jun 23, 2021
- 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
- Jody P Johnsen, DO
- Title
- Owner
- Phone
- (248) 642-9893
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
9471 Ridge Rd
Goodrich, MI 48438-9480
Mailing address
9471 Ridge Rd
Goodrich, MI 48438-9480
Phone (248) 642-9893
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Emergency Medicine Physician
- Southfield, MI
- NPI 1437198629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1306415286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9471 RIDGE RD",
"city": "GOODRICH",
"state": "MI",
"postal_code": "484389480",
"telephone_number": "248-642-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9471 RIDGE RD",
"city": "GOODRICH",
"state": "MI",
"postal_code": "484389480",
"telephone_number": "248-642-9893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVELING CARE PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "JOHNSEN",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-642-9893",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodrich, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.