Pulmonary and Critical Care of Northwest Michigan, P.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

431568 Issued in MI

Legal business name

PULMONARY AND CRITICAL CARE OF NORTHWEST MICHIGAN, P.C.

Practice address

5087 N Royal Dr
Traverse City, MI 49684-6987

Phone

(231) 935-0440

Fax

(231) 935-0445

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa J Boyer

Title

Practice Administrator

Phone

(231) 935-0440

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1679575971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5087 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846987",
            "telephone_number": "231-935-0440",
            "fax_number": "231-935-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5087 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846987",
            "telephone_number": "231-935-0440",
            "fax_number": "231-935-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND CRITICAL CARE OF NORTHWEST MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "231-935-0440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "431568",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "431568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "290B810080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent R Prusick, M.D.
• Robert M Prust, MD
• Christina Dalton Pryde, CRNA
• Psychological Assessment and Counseling Center
• Paul Thomas Pulice, D.O.
• Taylor Spitzley Pung, PT, DPT
• Michele Marie Pupel, RN
• Andrew Purcell, CRNA
• Aven Claire Purcell, LLPC
• Samantha Purifoy, PA

• Pulmonary Disease Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.