Active NPI
Sleep Diagnostics of Northern Michigan P C
- Pulmonary Disease Physician
- Traverse City, MI
National Provider Identifier
1881703098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- DW007582
- Legal business name
- SLEEP DIAGNOSTICS OF NORTHERN MICHIGAN P C
- Practice address
- 550 Munson Ave
Suite 202
Traverse City, MI 49686-3580 - Phone
- (231) 935-9275
- Fax
- (231) 935-9280
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Alan Walker
- Title
- President
- Phone
- (231) 935-9275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | DW007582 | MI | Primary |
Addresses
Primary practice location
550 Munson Ave
Suite 202
Traverse City, MI 49686-3580
Mailing address
550 Munson Ave
Suite 202
Traverse City, MI 49686-3580
Phone (231) 935-9275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290B810560 | Other | MI | BCBSM GROUP # |
National Provider Directory
National Provider DirectoryLocations
1400 E Parkdale Ave
Ste 4
Manistee, MI 49660
Phone (231) 398-1840
500 Osborn Blvd
Ste 201
Sault Sainte Marie, MI 49783
550 Munson Ave
Ste 20
Traverse City, MI 49686
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Traverse City, MI
- NPI 1326157686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240358400000",
"number": "1881703098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 MUNSON AVE",
"address_2": "SUITE 202",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863580",
"telephone_number": "231-935-9275",
"fax_number": "231-935-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 MUNSON AVE",
"address_2": "SUITE 202",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863580",
"telephone_number": "231-935-9275",
"fax_number": "231-935-9280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DIAGNOSTICS OF NORTHERN MICHIGAN P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2009-04-22",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-935-9275"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "DW007582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP #",
"identifier": "290B810560",
"state": "MI"
}
],
"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 Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.