Michael Jay Traurig, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18210 Issued in SC

Practice address

540 Old Howell Rd
Greenville, SC 29615-1969

Phone

(864) 235-9008

Fax

(864) 235-9166

NPI assigned

Apr 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Upstate Adult & Adolescent Medicine

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1841269503
  Authorized official Same address or phone
• Carolina Mountain Internal Medicine

  • Internal Medicine Physician
  • Hendersonville, NC
  • NPI 1366473225
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619930427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WINTER BROOK LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296815179",
            "telephone_number": "864-297-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "864-235-9008",
            "fax_number": "864-235-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAURIG",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3063",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transitions Therapy
• Transmedtation
• Harry England Trantham, MD
• Julia Gordon Trask
• Megan Trask, PHD
• Megan Lyndsy Trauth, OTR/L
• Amber Rae Teague Travis, M.ED., BCBA
• Angel Travis
• Heather Ann Traynham, NP
• Ryland Tyrone Traynham, DDS

• Internal Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.