Individual provider Active NPI

Laura Marie Hill, M.D.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1508806118
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301068214 Issued in MI
Practice address
872 Munson Avenue
Suite D
Traverse City, MI 49686
Phone
(231) 922-0400
Fax
(231) 922-3063
NPI assigned
Jun 8, 2006
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301068214 MI Primary

Addresses

Primary practice location

872 Munson Avenue
Suite D
Traverse City, MI 49686

Mailing address

872 Munson Avenue
Suite D
Traverse City, MI 49686
Phone (231) 922-0400

Other identifiers 1

IdentifierTypeStateIssuer
104102107MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000164 MI Practitioner - Family Practice 3072568989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301068214MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Graetz MD PLC Family Medicine CurrentSince Jul 21, 2007 Accepting new patients
Thirlby Clinic PLC Family Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

4110 Copper Ridge Dr
Ste 100
Traverse City, MI 49684
Phone (231) 935-8950

872 Munson Ave
Ste D
Traverse City, MI 49686
Phone (231) 922-0400

647 E Eighth St
Traverse City, MI 49686
Phone (231) 922-0400

Interoperability endpoints

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1508806118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 MUNSON AVENUE",
            "address_2": "SUITE D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-922-0400",
            "fax_number": "231-922-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 MUNSON AVENUE",
            "address_2": "SUITE D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-922-0400",
            "fax_number": "231-922-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104102107",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.