V Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

V DERMATOLOGY

Practice address

1225 W Front St Ste C
Traverse City, MI 49684-2368

Phone

(231) 642-5031

Fax

(231) 525-2306

NPI assigned

Jun 2, 2017

Last updated

Dec 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony VanvreedeNPI 1871851105

Title

Doctor

Phone

(231) 735-1167

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Anthony C Vanvreede

  • Dermatology Physician
  • Traverse City, MI
  • NPI 1871851105
  Medicare reassignment Care Compare group NPD Authorized official
• Douglas Mark Richley, D.O.

  • Dermatology Physician
  • Manistee, MI
  • NPI 1780025619
  Medicare reassignment Care Compare group NPD
• Naila Christine Russell, DNP, FNP-BC

  • Family Nurse Practitioner
  • Traverse City, MI
  • NPI 1568872695
  Medicare reassignment Care Compare group NPD
• Elias Sanchez, PA

  • Physician Assistant
  • Traverse City, MI
  • NPI 1659195782
  Medicare reassignment Care Compare group NPD
• Carly Kay Rau, PA

  • Physician Assistant
  • Traverse City, MI
  • NPI 1730829672
  Medicare reassignment Care Compare group
• Elizabeth Dawn Tuck, FNP-C

  • Primary Care Nurse Practitioner
  • Lake City, MI
  • NPI 1609361807
  Medicare reassignment Care Compare group
• Kolleen Bartosek, PA-C

  • Physician Assistant
  • Traverse City, MI
  • NPI 1043845928
  Medicare reassignment

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1922536986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W FRONT ST STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842368",
            "telephone_number": "231-642-5031",
            "fax_number": "231-525-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W FRONT ST STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842368",
            "telephone_number": "231-642-5031",
            "fax_number": "231-525-2306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Cobb St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012542",
            "country_code": "US",
            "telephone_number": "231-642-5031",
            "fax_number": "231-525-2306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6483 M 66 N",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497209272",
            "country_code": "US",
            "telephone_number": "231-642-5031",
            "fax_number": "231-525-2306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "V DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "VANVREEDE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "231-735-1167"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0P30630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urgent Care of Traverse City PLLC (Walk In Clinic of Traverse City)
• Uscg Airsta Traverse City Clinic
• Uscg Medical Center
• Uscg Traverse City Pharmacy
• Maxwell Jackson Uschuk, MD
• Susan Valensky, M.A., CF-SLP
• Jeffrey M Valice, DO
• Kayla Van Acker, DPT
• Madison Van Hee
• David Anthony Van Horn

• Dermatology Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.