CREEKSIDE CLINIC, LLC
NPI 1558390799
Family Medicine in Traverse City, MI

Q: What is Creekside Clinic, LLC's NPI number?

The NPI number for Creekside Clinic, LLC is 1558390799. It was assigned to this organization in the NPPES registry on July 1, 2006.

Q: What is Creekside Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 01, 2006

1225 W FRONT ST, TRAVERSE CITY, MI 49684(231) 935-0788(231) 935-0787 Get Directions Write a Review

NPPES record last updated: December 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Creekside Clinic, Llc NPPES

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

CREEKSIDE CLINIC, LLC (NPI 1558390799) is a healthcare organization registered as a family medicine in Traverse City, Michigan and active in the NPI registry since July 2006. The organization lists Douglas Spence, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1558390799

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCREEKSIDE CLINIC, LLC

Location Address1225 W FRONT STTraverse City, MI 49684-2317

Mailing Address1225 W Front StTraverse City, MI 49684-2317 · (231) 935-0788 · Fax (231) 935-0787

Phone(231) 935-0788

Fax(231) 935-0787

Organization SubpartNo

Authorized OfficialDouglas SpenceOwner/physician · (231) 935-0788

Enumeration DateJuly 1, 2006

Last NPPES UpdateDecember 8, 2012

✔ NPI 1558390799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysician AssistantTaxonomy 363A00000X

1225 W FRONT ST, Traverse City, MI 49684

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Other Identifiers 1

Medicare PIN0P08010MI

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 13

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

JENNIFER NICOLE DRAKE PT

Physical Therapist