Traveling Medical Services PC
Organization Active NPI Physician Assistant · Allen Park, MI
NPI 1831167972 · NPPES record last updated Feb 14, 2023
Key facts
- NPI
- 1831167972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- Legal business name
- TRAVELING MEDICAL SERVICES PC
- Practice address
- 7445 Allen Rd
Suite 280
Allen Park, MI 48101-1963 - Phone
- (248) 569-2695
- Fax
- (248) 569-7250
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mary E Barna, PA, DPM
- Title
- Owner
- Phone
- (248) 581-4437
Practitioners 12
-
Mary Elaine Barna, DPM PA
-
James Russell Barna, DPM
-
Gazelle Animalia, FNP
-
Lori L Armstrong, NP
-
Lynette Guss, APRN-BC
-
Christy Marie Thallman, MSN RN FNP
-
Michelle Marie Trudeau, NP MS RN
-
Tara Shewre Wilson, NURSE PRACTITIONER
-
Cheryl M York, MSN, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040228000184 | MI | Part B Supplier - Clinic/Group Practice | 8628965381 |
Receives reassigned benefits from 1 practitioner Practice locations: Allen Park, MI; East China, MI; Riverview, MI |
| O20040228000371 | MI | Part B Supplier - Clinic/Group Practice | 8628965381 |
Receives reassigned benefits from 1 practitioner Practice locations: Allen Park, MI |
| O20041217000788 | MI | Part B Supplier - Clinic/Group Practice | 8628965381 |
Receives reassigned benefits from 3 practitioners Practice locations: St Clair, MI; Allen Park, MI; Fort Gratiot, MI |
National Provider Directory
Locations
42235 County Road 390
Bloomingdale, MI 49026
Phone (269) 521-3383
5201 Conner St
Detroit, MI 48213
Phone (313) 571-5555
508 Random Ln
Gaylord, MI 49735
Phone (989) 732-3508
33600 Luther Ln
Livonia, MI 48154
Phone (734) 421-6564
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Physician Assistant |
363A00000X | Yes |
Addresses
Primary practice location
7445 Allen Rd
Suite 280
Allen Park, MI 48101-1963
Mailing address
PO Box 998
Allen Park, MI 48101-0998
Phone (248) 581-4437
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700F312990 | Other | MI | BLUE CROSS BLUE SHIELD |
Other providers in Allen Park, MI
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- Yanirys Tran
- Erika Guadalupe Trevino
- Joy Lynn Trombley
- Gary Alexander True
- Marisa A Twiner
- Sudheer R Ummadi
All providers in Allen Park, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.