Organization Active NPI

Center for Health PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Traverse City, MI
National Provider Identifier
1801036090
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
CENTER FOR HEALTH PLLC
Practice address
615 E Eighth St
Traverse City, MI 49686-2630
Phone
(231) 929-2900
Fax
(231) 929-7191
NPI assigned
Feb 27, 2009
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Dr. Sam P Copeland, DONPI 1902878986
Title
Owner
Phone
(231) 929-2900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5151008468 MI
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU Primary

Addresses

Primary practice location

615 E Eighth St
Traverse City, MI 49686-2630

Mailing address

615 E 8TH St
Traverse City, MI 49686-2630
Phone (231) 929-2900

Other identifiers 1

IdentifierTypeStateIssuer
010B813750OtherMIBCBSM

Other names 1

  • SAM P COPELAND DO Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090415000556 MI Part B Supplier - Clinic/Group Practice 4183771876 Receives reassigned benefits from 1 practitioner
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

615 E Eighth St
Traverse City, MI 49686
Phone (231) 633-5671

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1801036090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862630",
            "telephone_number": "231-929-2900",
            "fax_number": "231-929-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862630",
            "telephone_number": "231-929-2900",
            "fax_number": "231-929-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-929-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5151008468",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "010B813750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAM P COPELAND DO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SAM P COPELAND DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.