Russell Van Houzen, MD, PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301035319 Issued in MI

Legal business name

RUSSELL VAN HOUZEN, MD, PLC

Practice address

10161 E Pickwick CT
Suite E
Traverse City, MI 49684-5239

Phone

(231) 935-0888

Fax

(231) 935-0890

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russell Neil Van Houzen, MDNPI 1831279223

Title

Owner

Phone

(231) 935-0888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Neil Vanhouzen, M.D.

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1831279223
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447460852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 E PICKWICK CT",
            "address_2": "SUITE E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845239",
            "telephone_number": "231-935-0888",
            "fax_number": "231-935-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 E PICKWICK CT",
            "address_2": "SUITE E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845239",
            "telephone_number": "231-935-0888",
            "fax_number": "231-935-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL VAN HOUZEN, MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN HOUZEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301035319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1096875",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Ruhland, DC
• Gary Stephen Ruoff, D.O.
• Amy Rushlow, PA
• David C Rushlow, LMSW
• Russell Chiropractic, PLC
• Andrea Synnestvedt Russell, LMSW
• Christine A Russell, MSRD
• Erynne Louise Russell
• Jodi K Russell
• Kerry Bruce Russell, D.C., C.C.S.P.

• 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 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.

Verify at the official NPI Registry.