GRAND TRAVERSE PATHOLOGY, PLLC
NPI 1306868427
Pathology - Anatomic Pathology & Clinical Pathology in Traverse City, MI

Q: What is Grand Traverse Pathology, PLLC's NPI number?

The NPI number for Grand Traverse Pathology, PLLC is 1306868427. It was assigned to this organization in the NPPES registry on July 25, 2006.

Q: What is Grand Traverse Pathology, PLLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since July 25, 2006

1105 6TH ST, TRAVERSE CITY, MI 49684(231) 935-0499 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2020, Mar 16, 2020, Feb 3, 2020 (3 updates tracked since 2020).

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About Grand Traverse Pathology, Pllc NPPES

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

GRAND TRAVERSE PATHOLOGY, PLLC (NPI 1306868427) is a healthcare organization registered as an anatomic pathology & clinical pathology in Traverse City, Michigan and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Cadillac and lists Amy W Ferguson, President, as its authorized official.

NPPES Registry Identity

NPI1306868427

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameGRAND TRAVERSE PATHOLOGY, PLLC

Location Address1105 6TH STTraverse City, MI 49684-2345

Mailing AddressPo Box 9099Longview, TX 75608-9099 · (903) 663-4800 · Fax (419) 223-2726

Phone(231) 935-0499

Organization SubpartNo

Authorized OfficialAmy W FergusonPresident · (231) 935-6108

Enumeration DateJuly 25, 2006

Last NPPES UpdateApril 15, 20253 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1306868427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1105 6TH ST, Traverse City, MI 49684

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Secondary Practice Location 1

Location 1400 Hobart StCadillac, MI 49601-2331 · Phone (231) 876-7200

Other Identifiers 8

Other510047MI · Preferred Choices

Other820MI · Priority Health

OtherCB1092MI · Railroad Medicare

Other0B87602MI · Bcbs

Other36478MI · Community Choice Of Mi

Other018175MI · Midwest Health Plan

Other53481AMI · Health Alliance Plan

OtherXX01516MI · Healthplus

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

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

ADVANCED WOUND CARE & HYPERBARIC PHYSICIANS OF TRAVERSE CITY, PLC

Emergency Medicine

1105 6TH ST
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 947-0673

BEVIN CLAYTON DO

Emergency Medicine

1105 6TH ST
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 947-0673

TRAVERSE ANESTHESIA ASSOCIATES, PC

Anesthesiology (Pain Medicine)

1105 6TH ST, MUNSON MEDICAL CENTER/TRAVERSE ANESTHESIA ASSOCIATES, P
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-5770

MR. DONALD EDWARD ROUTZAHN RPH

Pharmacist

1105 6TH ST
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-5000

DR. PHILIP MICHAEL DIMONDO PHARMD

Pharmacist

1105 6TH ST
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-6559

NATALIE C CREW RD

Dietitian, Registered

1105 6TH ST
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-6447

KARLA A FISHBURN RN

Registered Nurse

1105 6TH ST
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 935-3321

DALE C BLUM M.D.

Emergency Medicine (Emergency Medical Services)

1105 6TH ST
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 947-0673

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 Grand Traverse Pathology, PLLC's NPI number?

The NPI number for Grand Traverse Pathology, PLLC is 1306868427. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Grand Traverse Pathology, PLLC located?

Grand Traverse Pathology, PLLC is located at 1105 6th St, Traverse City, MI 49684. The listed phone number is (231) 935-0499.

What is Grand Traverse Pathology, PLLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

What insurance does Grand Traverse Pathology, PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Grand Traverse Pathology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Traverse Pathology, PLLC was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.