Active NPI
Ranger Vascular and Vein Center PLLC
- Health Service Clinic/Center
- Traverse City, MI
National Provider Identifier
1932598976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- E5524D
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11286550 | Other | MI | CAQH ID |
| 0280224 | Other | MI | BCBS PIN |
| 1235121989 | Other | MI | INDIVIDUAL NPI |
| 4211489 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.