Traverse Bay Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRAVERSE BAY INTERNAL MEDICINE PC

Practice address

4977 Skyview CT
Traverse City, MI 49684-6941

Phone

(231) 947-0673

Fax

(801) 740-2847

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Yvonne E Kaehler

Title

Credentialer

Phone

(231) 947-0673

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHBDAD

Practitioners 8

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

• Carl B Anders, MD

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1194779843

  Internal Medicine, MI

  Medicare reassignment Care Compare group NPD
• Angela Pohl, DO

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1629207741

  Internal Medicine, MI

  Medicare reassignment Care Compare group NPD
• Caitlin M. Schmidt, D.O.

  • Obstetrics & Gynecology Physician
  • Traverse City, MI
  • NPI 1699068148

  MI

  Medicare reassignment Care Compare group NPD
• Erika Getz, PAC

  • Physician Assistant
  • Traverse City, MI
  • NPI 1881845352

  MI

  Medicare reassignment Care Compare group
• Anne Zwart, PA-C

  • Physician Assistant
  • Traverse City, MI
  • NPI 1679975544

  MI

  Medicare reassignment Care Compare group
• Kathleen Tippen Kerr, NP

  • Nurse Practitioner
  • Chelsea, MI
  • NPI 1255853776

  MI

  Medicare reassignment NPD
• Tamella Paige Livengood, MSN, FNP

  • Family Nurse Practitioner
  • Traverse City, MI
  • NPI 1407038151

  MI

  Medicare reassignment NPD
• Amanda Lynn Gross, MSBS, PA-C

  • Physician Assistant
  • Traverse City, MI
  • NPI 1639633076

  MI

  Medicare reassignment

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1487023933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4977 SKYVIEW CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846941",
            "telephone_number": "231-947-0673",
            "fax_number": "801-740-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4977 SKYVIEW CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846941",
            "telephone_number": "231-947-0673",
            "fax_number": "801-740-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE BAY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "KAEHLER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "231-947-0673",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traverse Area Hematology/Oncology P.C.
• Traverse Area Pediatric and Adolescent Clinic PLC
• Traverse Bay Area Intermediate School District
• Traverse Bay Counseling & Wellness
• Traverse Bay Hospitalists, PLLC
• Traverse Bay Medical
• Traverse Bay Radiation Oncologists
• Traverse City Chiropractic Life Center, Inc
• Traverse City Eye Consultants P C
• Traverse City Medical LLC

• All providers in Traverse City, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.