Airstation Traverse City

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

45189021 Issued in WI

Legal business name

AIRSTATION TRAVERSE CITY

Practice address

1175 Airport Access Rd
Flight Med Clinic
Traverse City, MI 49686-3513

Phone

(231) 922-8282

Fax

(231) 922-8292

NPI assigned

Jul 9, 2006

Last updated

Aug 22, 2020By 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

Mrs. Elvira Fabiola Lombardo, HEALTH SERVICES TECHNPI 1184699456

Title

HS3

Phone

(231) 922-8282

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elvira F Lombardo

  • Other Technician
  • Traverse City, MI
  • NPI 1184699456
  NPD (past) Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760415137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 E FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863023",
            "telephone_number": "231-631-4660",
            "fax_number": "231-922-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 AIRPORT ACCESS RD",
            "address_2": "FLIGHT MED CLINIC",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863513",
            "telephone_number": "231-922-8282",
            "fax_number": "231-922-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRSTATION TRAVERSE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_middle_name": "FABIOLA",
        "authorized_official_title_or_position": "HS3",
        "authorized_official_telephone_number": "231-922-8282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HEALTH SERVICES TECH"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WI",
            "license": "45189021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Agee
• Troy W Ahlstrom, M.D.
• Jacqueline Michele Aicher, M.S., CCC-SLP
• Donald James Aiken, M.D.
• Breanne Aird, MSOT, OTR/L
• Airway Oxygen Inc
• Meredith Aja, MOT
• Sara Aja, PHARMD.
• Clifford Alan, DO
• Laura Alanson, LMSW

• Exclusive Provider Organization in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Exclusive Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.