Individual provider Active NPI

George R Pluhar, D C

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1528049442
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005809 Issued in MI
Practice address
616 E 8TH St
Unit 1
Traverse City, MI 49686-2694
Phone
(231) 941-8808
Fax
(231) 941-8690
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005809 MI Primary

Addresses

Primary practice location

616 E 8TH St
Unit 1
Traverse City, MI 49686-2694

Mailing address

616 E 8TH St
Unit 1
Traverse City, MI 49686-2694
Phone (231) 941-8808

Other identifiers 2

IdentifierTypeStateIssuer
950B850310OtherMIBCBS OF MICHIGAN
142305809MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000694 MI Practitioner - Chiropractic 2860681384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3189 Logan Valley Rd
Traverse City, MI 49684-4772
Phone (231) 941-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jivanta Chiropractic Wellness Centre PLLC Chiropractor CurrentSince Jan 26, 2013 Accepting new patients
Rising Star Wellness Center PLC Past Accepting new patients

Locations

1235 Woodmere Ave
Traverse City, MI 49686
Phone (231) 941-8808

3189 Logan Valley Rd
Traverse City, MI 49684
Phone (231) 932-1988

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1528049442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E 8TH ST",
            "address_2": "UNIT 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862694",
            "telephone_number": "231-941-8808",
            "fax_number": "231-941-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E 8TH ST",
            "address_2": "UNIT 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862694",
            "telephone_number": "231-941-8808",
            "fax_number": "231-941-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUHAR",
        "first_name": "GEORGE",
        "middle_name": "R",
        "credential": "D C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "950B850310",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142305809",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.