Grand Traverse Surgery P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GRAND TRAVERSE SURGERY P.C.

Practice address

701 W Front St
Ste 200
Traverse City, MI 49684-2287

Phone

(231) 346-4000

Fax

(231) 932-7311

NPI assigned

Aug 25, 2005

Last updated

Oct 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roche J Featherstone, MD

Title

President

Phone

(231) 935-8890

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1639162589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842287",
            "telephone_number": "231-346-4023",
            "fax_number": "231-932-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842287",
            "telephone_number": "231-346-4000",
            "fax_number": "231-932-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND TRAVERSE SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "FEATHERSTONE",
        "authorized_official_first_name": "ROCHE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-935-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.