Traverse Bay Hospitalists, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRAVERSE BAY HOSPITALISTS, PLLC

Practice address

1105 Sixth St
Traverse City, MI 49684-2349

Phone

(800) 968-6866

NPI assigned

May 21, 2014

Last updated

May 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Videan

Title

Provider Enrollment

Phone

(800) 968-6866

Specialties & licenses 1

Addresses

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.

• Adrienne L Maresca, PA-C

  • Medical Physician Assistant
  • Traverse City, MI
  • NPI 1790873727
  NPD

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1326450693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2388",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495012388",
            "telephone_number": "800-968-6866",
            "fax_number": "616-532-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842349",
            "telephone_number": "800-968-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE BAY HOSPITALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "VIDEAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "800-968-6866"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traverse Anesthesia Associates, PC
• Traverse Area Hematology/Oncology P.C.
• Traverse Area Pediatric and Adolescent Clinic PLC
• Traverse Bay Area Intermediate School District
• Traverse Bay Counseling & Wellness
• Traverse Bay Internal Medicine PC
• Traverse Bay Medical
• Traverse Bay Radiation Oncologists
• Traverse City Chiropractic Life Center, Inc
• Traverse City Eye Consultants P C

• Internal Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.