Great Lakes Orthopaedic Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

GREAT LAKES ORTHOPAEDIC CENTER

Practice address

4045 W Royal Dr
Traverse City, MI 49684-8965

Phone

(231) 935-0900

NPI assigned

Aug 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Vincent O'Hagan, M.D.

Title

Sports Medicine Orthopaedic Surgeon

Phone

(231) 935-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1629234042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES ORTHOPAEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "O'HAGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "SPORTS MEDICINE ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "231-935-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Foot & Ankle Specialist, PLLC
• Great Lakes Foot and Ankle Specialists
• Great Lakes Home Healthcare Specialists, LLC
• Great Lakes Integrated Health PLLC (Great Lakes Integrated Health)
• Great Lakes Online Counseling LLC
• Great Lakes Orthopaedic Center, P.C.
• Great Lakes Orthopaedic Center, P.C.
• Great Lakes Plastic Surgery Center
• Great Lakes Support Services
• Great Lakes Therapy at Orchard Creek Campus

• General Acute Care Hospital in Traverse City, MI
• Providers in Traverse City, MI by specialty
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.