Active NPI
Other Office
- Family Medicine Physician
- Traverse City, MI
National Provider Identifier
1396798682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OTHER OFFICE
- Practice address
- 3955 US 31 S
Traverse City, MI 49684-4495 - Phone
- (231) 935-0500
- Fax
- (231) 935-0501
- NPI assigned
- May 18, 2006
- 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
- Peter W Springsteen, MD
- Title
- President
- Phone
- (231) 929-1234
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3955 US 31 S
Traverse City, MI 49684-4495
Mailing address
3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 929-1234
Other names 1
- Affordable Basic Care
National Provider Directory
National Provider DirectoryLocations
3955 US 31 S
Traverse City, MI 49684
Phone (231) 933-1810
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1265438790
-
- Medical Physician Assistant
- Traverse City, MI
- NPI 1548258965
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1376599282
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1962408393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396798682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3074 N US 31 S",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844533",
"telephone_number": "231-929-1234",
"fax_number": "231-935-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 US 31 S",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844495",
"telephone_number": "231-935-0500",
"fax_number": "231-935-0501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTHER OFFICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPRINGSTEEN",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-929-1234",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Affordable Basic Care",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.