Indigo Collaborative Care, PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INDIGO COLLABORATIVE CARE, PLC

Practice address

10850 E Traverse Hwy Ste 4400
Traverse City, MI 49684-1320

Phone

(231) 346-6807

Fax

(231) 346-6052

NPI assigned

Feb 11, 2009

Last updated

Oct 12, 2015By 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

Anne McMorrow

Title

Director of Reimbursement

Phone

(231) 346-6807

Specialties & licenses 2

Addresses

Locations

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.

• Troy W Ahlstrom, M.D.

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1548265911
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1801035068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY STE 4400",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841320",
            "telephone_number": "231-346-6807",
            "fax_number": "231-356-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY STE 4400",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841320",
            "telephone_number": "231-346-6807",
            "fax_number": "231-346-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO COLLABORATIVE CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "MCMORROW",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "231-346-6807"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indigo Hospital Medicine - Traverse City, PLC
• Indigo Services, PLC
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• Katherine Ingersoll, LPN
• Michelle Ingersoll

• Internal Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.