GRAND TRAVERSE WOMENS CLINIC PLLC
NPI 1336194166
Obstetrics & Gynecology - Obstetrics in Traverse City, MI

Active since May 23, 2006CLIA 23D0988684 · Microscopy
1200 6TH ST, STE 400, TRAVERSE CITY, MI 49684(231) 392-0650(231) 392-0665 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Traverse Womens Clinic Pllc NPPES

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

GRAND TRAVERSE WOMENS CLINIC PLLC (NPI 1336194166) is a healthcare organization registered as an obstetrics in Traverse City, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through July 4, 2027 and lists Timothy P Madion, President, as its authorized official.

NPPES Registry Identity

NPI1336194166
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameGRAND TRAVERSE WOMENS CLINIC PLLC
Location Address1200 6TH ST, STE 400Traverse City, MI 49684-2369
Mailing Address1200 6th St, Ste 400Traverse City, MI 49684-2369 · (231) 392-0650 · Fax (231) 392-0665
Fax(231) 392-0665
Organization SubpartNo
Authorized OfficialTimothy P MadionPresident · (231) 392-0650
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 11, 2014
NPI 1336194166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
1200 6TH ST, Traverse City, MI 49684

Other Identifiers 1

Medicare PIN0N30860MI

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0988684

Grand Traverse Women's Clinic · Traverse City, MI
Active · expires Jul 4, 2027
CLIA Number23D0988684
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorTimothy P. Madion MD
Laboratory Phone(231) 392-0650
Laboratory LocationGrand Traverse Women's Clinic1200 Sixth Street Suite 400, Traverse City, MI 49684
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

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

Obstetrics & Gynecology (Gynecology)
1200 6TH ST, STE 400
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology (Obstetrics)
1200 6TH ST, STE 400
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology (Obstetrics)
1200 6TH ST, STE 400
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology (Obstetrics)
1200 6TH ST, STE 400
TRAVERSE CITY, MI 49684
Pediatrics (Pediatric Hematology-Oncology)
1200 6TH ST, SUITE 100
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 6TH ST
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 6TH ST, SUITE 200
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology
1200 6TH ST, STE 400
TRAVERSE CITY, MI 49684

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 Womens Clinic PLLC's NPI number?

The NPI number for Grand Traverse Womens Clinic PLLC is 1336194166. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Grand Traverse Womens Clinic PLLC located?

Grand Traverse Womens Clinic PLLC is located at 1200 6th St Ste 400, Traverse City, MI 49684. The listed phone number is (231) 392-0650.

What is Grand Traverse Womens Clinic PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Does Grand Traverse Womens Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0988684) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grand Traverse Womens Clinic PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Traverse Womens Clinic 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 Womens Clinic PLLC was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.