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GRAND TRAVERSE CHILDREN'S CLINIC
NPI 1750398871
Pediatrics in Traverse City, MI

Active since August 02, 2006CLIA 23D0381385 · Microscopy
3537 W FRONT ST STE G, TRAVERSE CITY, MI 49684(231) 935-8827 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Grand Traverse Children's Clinic NPPES

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

GRAND TRAVERSE CHILDREN'S CLINIC (NPI 1750398871) is a healthcare organization registered as a pediatrics in Traverse City, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through August 30, 2027 and lists Leeann B Sprunk, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750398871
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGRAND TRAVERSE CHILDREN'S CLINIC
Location Address3537 W FRONT ST STE GTraverse City, MI 49684-7943
Mailing Address3537 W Front St Ste GTraverse City, MI 49684-7943 · (231) 935-8827
Phone(231) 935-8827
Organization SubpartNo
Authorized OfficialLeeann B SprunkOffice Manager · (231) 935-8822
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1750398871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3537 W FRONT ST STE G, Traverse City, MI 49684
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Other Names 1

Doing Business AsGrand Traverse Children's Clinic

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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) 23D0381385

Grand Traverse Children's Clinic · Traverse City, MI
Active · expires Aug 30, 2027
CLIA Number23D0381385
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorDavid S. Olson
Laboratory Phone(231) 935-8822
Laboratory LocationGrand Traverse Children's Clinic3537 West Front St Suite G, Traverse City, MI 49684
CLIA data matches this NPI record on: Address Name 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 4

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

DR. LISA CHIMNER MD
Pediatrics
3537 W FRONT ST STE G
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8822
DR. TUAN BUI M.D.
Pediatrics
3537 W FRONT ST STE G
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8822
DR. KIMBERLY A HEGEWALD MD
Pediatrics
3537 W FRONT ST STE G
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8822
DR. KATHERINE RENEE ELMS M.D.
Pediatrics
3537 W FRONT ST STE G
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8827

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 Children's Clinic's NPI number?

The NPI number for Grand Traverse Children's Clinic is 1750398871. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Grand Traverse Children's Clinic located?

Grand Traverse Children's Clinic is located at 3537 W Front St Ste G, Traverse City, MI 49684. The listed phone number is (231) 935-8827.

What is Grand Traverse Children's Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Grand Traverse Children's Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0381385) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grand Traverse Children's Clinic 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 Children's Clinic 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 Children's Clinic 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.