NPIMap

Organization Active NPI

West Front Primary Care, P.L.L.C.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1851490296
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST FRONT PRIMARY CARE, P.L.L.C.
Practice address
4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205
Phone
(231) 935-8930
Fax
(231) 935-8811
NPI assigned
Sep 22, 2006
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Tobin J. Fraser, D.O.NPI 1336159102
Title
Chairman of the Board
Phone
(231) 935-8930

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 SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205

Mailing address

4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205
Phone (231) 935-8930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317001391 MI Part B Supplier - Clinic/Group Practice 4183514706 Receives reassigned benefits from 22 practitioners
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

560 N Bronson Ave
Big Rapids, MI 49307
Phone (231) 935-8930

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1851490296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 COPPER RIDGE DR STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847205",
            "telephone_number": "231-935-8930",
            "fax_number": "231-935-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 COPPER RIDGE DR STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847205",
            "telephone_number": "231-935-8930",
            "fax_number": "231-935-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FRONT PRIMARY CARE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "TOBIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "231-935-8930",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 May 21, 2026; 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.