Organization Active NPI

Ranger Vascular and Vein Center PLLC

  • Health Service Clinic/Center
  • Traverse City, MI
National Provider Identifier
1932598976
Registry record updated Jan 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
E5524D Issued in MI
Legal business name
RANGER VASCULAR AND VEIN CENTER PLLC
Practice address
1225 W Front St
Suite B
Traverse City, MI 49684-2368
Phone
(231) 360-1775
Fax
(231) 486-6067
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2015

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

Authorized official

Name
William Ranger, M.D.
Title
Owner
Phone
(231) 360-1775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X E5524D MI Primary

Addresses

Primary practice location

1225 W Front St
Suite B
Traverse City, MI 49684-2368

Mailing address

1225 W Front St
Suite B
Traverse City, MI 49684-2368
Phone (231) 360-1775

Other identifiers 4

IdentifierTypeStateIssuer
11286550OtherMICAQH ID
0280224OtherMIBCBS PIN
1235121989OtherMIINDIVIDUAL NPI
4211489MedicaidMI

National Provider Directory

National Provider Directory

Locations

1225 W Front St
Traverse City, MI 49684
Phone (231) 935-0788

1225 W Front St
Ste B
Traverse City, MI 49684
Phone (231) 360-1775

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422057600000",
    "number": "1932598976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W FRONT ST",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842368",
            "telephone_number": "231-360-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W FRONT ST",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842368",
            "telephone_number": "231-360-1775",
            "fax_number": "231-486-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGER VASCULAR AND VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-24",
        "status": "A",
        "authorized_official_last_name": "RANGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-360-1775",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "E5524D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11286550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0280224",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235121989",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4211489",
            "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 Jan 24, 2015; 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.