NORTHERN MICHIGAN MEDICINE AND PEDIATRICS, PLLC
NPI 1528168895
Pediatrics in Traverse City, MI
NPI Status: Active since September 25, 2006
Contact Information
3643 W FRONT ST
SUITE C
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-0614
Fax: (231) 935-0832
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 23D0972517
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-09-2026
About NORTHERN MICHIGAN MEDICINE AND PEDIATRICS, PLLC
This page provides the complete NPI Profile along with additional information for Northern Michigan Medicine And Pediatrics, Pllc, a pediatrician established in Traverse City, Michigan operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1528168895 assigned on September 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Northern Michigan Medicine And Pediatrics, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Robert E Kuhn D.o. (D.o.)
- NPI
- 1528168895
- Provider Name
- NORTHERN MICHIGAN MEDICINE AND PEDIATRICS, PLLC
- Entity Type
- Organization
- Location Address
- 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684
- Location Phone
- (231) 935-0614
- Location Fax
- (231) 935-0832
- Mailing Address
- 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684
- Mailing Phone
- (231) 935-0614
- Mailing Fax
- (231) 935-0832
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-25-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Northern Michigan Medicine And Pediatrics, Pllc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0972517
- Facility Type
- Physician Office
- Certificate Effective Date
- April 10, 2024
- Certificate Expiration Date
- April 09, 2026
- Laboratory Director
- WALTER K. MEEKER MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Northern Michigan Medicine And Pediatrics, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 1 | 6 | 8 | 8 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 2 | 6 | 16 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 2 + 6 + 1 + 6 + 8 + 1 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1528168895 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922090406 | DR. SHERRY L SMALL M.D. Individual | Pediatrics | 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684 (231) 935-0614 |
| 1871585174 | DR. MARGARET J MEEKER M.D. Individual | Pediatrics | 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684 (231) 935-0614 |
| 1861430779 | ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY PC Organization | Dermatology (Dermatopathology) | 3643 W FRONT ST TRAVERSE CITY, MI 49684 (231) 935-0625 |
| 1831224765 | CURT JEFFREY SCHUBERT M.D. Individual | Internal Medicine | 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684 (231) 935-0614 |
| 1730208349 | MRS. AMY LYNN REAM AT.,C Individual | Specialist/Technologist (Athletic Trainer) | 3643 W FRONT ST SUITE B TRAVERSE CITY, MI 49684 (231) 935-0590 |
| 1588876254 | MARY BONNIE SMITH C.P.N.P. Individual | Nurse Practitioner (Pediatrics) | 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684 (231) 935-0614 |
| 1770565384 | DR. JEFFREY JOHN KELLY D.O. Individual | Dermatology | 3643 W FRONT ST SUITE A TRAVERSE CITY, MI 49684 (231) 935-0620 |
| 1295727774 | DR. WALTER K MEEKER M.D. Individual | Internal Medicine | 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684 (231) 935-0614 |
| 1487646923 | DR. JOHN J GORMAN M.D. Individual | Internal Medicine | 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684 (231) 935-0614 |
| 1104818681 | DR. ROBERT E KUHN D.O. Individual | Internal Medicine | 3643 W FRONT ST SUITE C TRAVERSE CITY, MI 49684 (231) 935-0614 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528168895, enumerated in the NPI registry as an "organization" on September 25, 2006
The provider is located at 3643 W Front St Suite C Traverse City, Mi 49684 and the phone number is (231) 935-0614
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D0972517 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.