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GREAT LAKES ORTHOPAEDIC CENTER
NPI 1629234042
General Acute Care Hospital in Traverse City, MI

Active since August 05, 2008
4045 W ROYAL DR, TRAVERSE CITY, MI 49684(231) 935-0900 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Great Lakes Orthopaedic Center NPPES

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

GREAT LAKES ORTHOPAEDIC CENTER (NPI 1629234042) is a healthcare organization registered as a general acute care hospital in Traverse City, Michigan and active in the NPI registry since August 2008. The organization lists Thomas Vincent O'hagan, Sports Medicine Orthopaedic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1629234042
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameGREAT LAKES ORTHOPAEDIC CENTER
Location Address4045 W ROYAL DRTraverse City, MI 49684-8965
Mailing Address4045 W Royal DrTraverse City, MI 49684-8965 · (231) 935-0900
Phone(231) 935-0900
Organization SubpartNo
Authorized OfficialThomas Vincent O'haganSports Medicine Orthopaedic Surgeon · (231) 935-0900
Enumeration DateAugust 5, 2008
Last NPPES UpdateFebruary 19, 2014
✔ NPI 1629234042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
4045 W ROYAL DR, Traverse City, MI 49684
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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.

MADISON NOELLE PEDLAR
Physical Therapist
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
CAROL L BLOUCH PTA, ATC
Physical Therapy Assistant
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
THOMAS FREEMAN JR. MD
Orthopaedic Surgery
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
ANGELA PAILTHORPE PA-C
Physician Assistant
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-5734
CAROLYNN A KELLOGG N.P.
Nurse Practitioner
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
SHELLY R KING PTA
Physical Therapy Assistant
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
DR. THOMAS V O'HAGAN M.D.
Orthopaedic Surgery (Sports Medicine)
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0900
JANICE MARY COBB MPT
Physical Therapist (Orthopedic)
4045 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0901

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 Great Lakes Orthopaedic Center's NPI number?

The NPI number for Great Lakes Orthopaedic Center is 1629234042. It was assigned to this organization in the NPPES registry on August 5, 2008.

Where is Great Lakes Orthopaedic Center located?

Great Lakes Orthopaedic Center is located at 4045 W Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 935-0900.

What is Great Lakes Orthopaedic Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Orthopaedic Center was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.