Active NPI
Peter Thomas McAndrews III, DO
- Orthopaedic Surgery Physician
- Traverse City, MI
National Provider Identifier
1396784013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101011731
- Practice address
- 5246 N Royal Dr
Suite a
Traverse City, MI 49684-6984 - Phone
- (231) 935-0957
- Fax
- (231) 935-0960
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101011731 | MI | Primary |
Addresses
Primary practice location
5246 N Royal Dr
Suite a
Traverse City, MI 49684-6984
Mailing address
5246 N Royal Dr
Traverse City, MI 49684-6984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3537 W Front St
Ste E
Traverse City, MI 49684
Phone (231) 935-5880
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- pmcandrews@direct.mhc.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Munson Healthcare Orthopaedic Institute
- Orthopaedic Surgery Physician
- Traverse City, MI
- NPI 1467102236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1396784013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5246 N ROYAL DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496846984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5246 N ROYAL DR",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496846984",
"telephone_number": "231-935-0957",
"fax_number": "231-935-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANDREWS",
"first_name": "PETER",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101011731",
"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 Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.