Organization Active NPI

Sleep Diagnostics of Northern Michigan P C

  • Pulmonary Disease Physician
  • Traverse City, MI
National Provider Identifier
1881703098
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DW007582 Issued in MI
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

Updated by the provider on Apr 22, 2009

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
290B810560OtherMIBCBSM GROUP #

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.