NPIMap

Organization Active NPI

Hand Surgery of Northern Michigan PLC

Doing business as Traverse Bay Hand Therapy PLC

  • Durable Medical Equipment & Medical Supplies
  • Traverse City, MI
National Provider Identifier
1356487870
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HAND SURGERY OF NORTHERN MICHIGAN PLC
Doing business as
Traverse Bay Hand Therapy PLC
Practice address
701 W Front St
Suite 100
Traverse City, MI 49684-2236
Phone
(231) 995-9748
Fax
(231) 995-9745
NPI assigned
Jan 30, 2007
Last updated
Oct 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Christine Lee
Title
Administrator
Phone
(231) 935-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Orthotic Fitter 225000000X NU

Addresses

Primary practice location

701 W Front St
Suite 100
Traverse City, MI 49684-2236

Mailing address

701 W Front St
Suite 100
Traverse City, MI 49684-2236
Phone (231) 995-9748

Other identifiers 1

IdentifierTypeStateIssuer
540B811790OtherMIBCBSM

Other names 1

  • Traverse Bay Hand Therapy PLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930016471 MI DME Supplier - Physician - Hand SurgeryDME Supplier - Orthotic PersonnelDME Supplier - Independently-Practicing Occupational Therapist 4183639859 Practice locations: Traverse City, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hand Surg Northern Mi PLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

214 N Division St
Traverse City, MI 49684
Phone (231) 995-9748

701 Third St
Traverse City, MI 49684
Phone (231) 935-0733

Practitioners & affiliated clinicians

Practitioners 10

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1356487870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "SUITE 100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842236",
            "telephone_number": "231-995-9748",
            "fax_number": "231-995-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "SUITE 100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842236",
            "telephone_number": "231-995-9748",
            "fax_number": "231-995-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND SURGERY OF NORTHERN MICHIGAN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-935-0800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540B811790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traverse Bay Hand Therapy PLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traverse Bay Hand Therapy PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2018; 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.