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SHEPHERD OF HOPE CLINIC PC
NPI 1225014715
General Practice in Traverse City, MI

Active since December 16, 2005
1028 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686(231) 946-7360(231) 929-4775 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Shepherd Of Hope Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEPHERD OF HOPE CLINIC PC (NPI 1225014715) is a healthcare organization registered as a general practice in Traverse City, Michigan and active in the NPI registry since December 2005. The organization lists Douglas John Wigton, Director, as its authorized official.

NPPES Registry Identity

NPI1225014715
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSHEPHERD OF HOPE CLINIC PC
Location Address1028 HANNAH AVE, SUITE DTraverse City, MI 49686-2963
Mailing Address1028 Hannah Ave, Suite DTraverse City, MI 49686-2963 · (231) 946-7360 · Fax (231) 929-4775
Phone(231) 946-7360
Fax(231) 929-4775
Organization SubpartNo
Authorized OfficialDouglas John WigtonDirector · (231) 946-7360
Enumeration DateDecember 16, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1225014715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1028 HANNAH AVE, Traverse City, MI 49686
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Other Identifiers 1

Medicaid2100506MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN KOLLE
Chiropractor
1028 HANNAH AVE, STE D
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 946-7360
MARVIN ANDERSON
Internal Medicine
1028 HANNAH AVE, STE D
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 946-7360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shepherd Of Hope Clinic PC's NPI number?

The NPI number for Shepherd Of Hope Clinic PC is 1225014715. It was assigned to this organization in the NPPES registry on December 16, 2005.

Where is Shepherd Of Hope Clinic PC located?

Shepherd Of Hope Clinic PC is located at 1028 Hannah Ave Suite D, Traverse City, MI 49686. The listed phone number is (231) 946-7360.

What is Shepherd Of Hope Clinic PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Shepherd Of Hope Clinic PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.