Village Family Practice PLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101009433 Issued in MI

Legal business name

VILLAGE FAMILY PRACTICE PLC

Practice address

810 Cottageview Dr
Traverse City, MI 49684

Phone

(231) 935-0708

Fax

(231) 935-0712

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peggy Anderson, D.O.

Title

Owner

Phone

(231) 935-0708

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1972797652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 COTTAGEVIEW DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-935-0708",
            "fax_number": "231-935-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 COTTAGEVIEW DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-935-0708",
            "fax_number": "231-935-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY PRACTICE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-0708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101009433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4602721",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa M Vermeulen, DO
• Marcy Verplanck-Kanitz, DO
• Emily Videan, BCBA
• Kathryn Vieracker, RN
• Kelley Ann Vilenski, HEARING AID DISPENSE
• Melanie Villanueva, LLMSW
• Ashley Vincent
• Rebecca Vincent, LMSW
• Connor Vincke
• Thomas J Vinette, LMSW

• General Practice Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.