Active NPI
Ann E Traynor, M.D.
- Internal Medicine Physician
- Cassopolis, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301104227
- Practice address
- 261 M 62
Cassopolis, MI 49031-1034 - Phone
- (269) 445-3874
- NPI assigned
- Nov 16, 2005
- Last updated
- Feb 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | TD061073 | ME | |
| Internal Medicine Physician | 207R00000X | 4301104227 | MI | Primary |
Addresses
Primary practice location
261 M 62
Cassopolis, MI 49031-1034
Mailing address
261 M 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301104227 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Clare | Internal Medicine | Current | Accepting new patients |
| Lakeland Immediate Care Center | Current | Accepting new patients | |
| Lakeland Immediate Care Center | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Ann Traynor, MD, PA | Hematology & Oncology | Past | Accepting new patients |
Locations
261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874
602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911
703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1951 Oak St
Niles, MI 49120
Phone (269) 262-4749
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cassopolis Family Clinic
- Federally Qualified Health Center (FQHC)
- Cassopolis, MI
- NPI 1982677548
-
- General Practice Physician
- Clare, MI
- NPI 1134394026
Internal Medicine
-
dba Hematology Oncology of Waterville
- Hematology & Oncology Physician
- Waterville, ME
- NPI 1891016689
-
dba Cass Family Clinic-Dowagiac
- Federally Qualified Health Center (FQHC)
- Dowagiac, MI
- NPI 1881492338
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1831171768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 M 62",
"city": "CASSOPOLIS",
"state": "MI",
"postal_code": "490311034",
"telephone_number": "269-445-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 M 62",
"city": "CASSOPOLIS",
"state": "MI",
"postal_code": "490311034",
"telephone_number": "269-445-3874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAYNOR",
"first_name": "ANN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ME",
"license": "TD061073",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301104227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cassopolis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.