NPIMap

Organization Active NPI

Asclepius Borealis, PLC

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1780177410
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015423 Issued in MI
Legal business name
ASCLEPIUS BOREALIS, PLC
Practice address
42 N W Silver Lake Rd
Traverse City, MI 49685-8536
Phone
(231) 935-1646
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Dr. Nathan Edward March, DONPI 1467462762
Title
Owner
Phone
(231) 935-1646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 5101015423 MI Primary

Addresses

Primary practice location

42 N W Silver Lake Rd
Traverse City, MI 49685-8536

Mailing address

42 N W Silver Lake Rd
Traverse City, MI 49685-8536
Phone (231) 935-1646

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1780177410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N W SILVER LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858536",
            "telephone_number": "231-935-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N W SILVER LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858536",
            "telephone_number": "231-935-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCLEPIUS BOREALIS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "MARCH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-1646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.