Physician Support Services PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIAN SUPPORT SERVICES PLLC

Doing business as

Little Traverse Primary Care

Practice address

8881 M 119
Harbor Springs, MI 49740

Phone

(231) 347-5400

Fax

(231) 348-2515

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Tricia Lee Menard

Title

Billing Office Manager

Phone

(231) 348-3808

Specialties & licenses 1

Addresses

Other names 1

• Little Traverse Primary Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1477509453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 M 119",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409479",
            "telephone_number": "231-347-5400",
            "fax_number": "231-348-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 M 119",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "49740",
            "telephone_number": "231-347-5400",
            "fax_number": "231-348-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SUPPORT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "231-348-3808"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Traverse Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Little Traverse Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikayla Oppermann
• Orthoheat
• Lori Overholt-Kottke
• Kristy Joanelle Paterson, LMFT
• James Perry, PTA
• Graham M Pierce, D.D.S.
• Milissa Dawn Godzik Pressey, AGPCNP-BC
• Gregory C Putalik, M.D.
• Craig English Rapin
• Amy Ray, PHYSICAL THERAPIST

• Family Medicine Physician in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.