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GRAND TRAVERSE RADIOLOGISTS PC
NPI 1760404891
Radiology - Diagnostic Radiology in Traverse City, MI

Active since July 25, 2006
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-0497 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2020, Aug 24, 2017, Aug 17, 2017 (3 updates tracked since 2017).

About Grand Traverse Radiologists Pc NPPES

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

GRAND TRAVERSE RADIOLOGISTS PC (NPI 1760404891) is a healthcare organization registered as a diagnostic radiology in Traverse City, Michigan and active in the NPI registry since July 2006. The organization lists Michelle M Lung, President, as its authorized official.

NPPES Registry Identity

NPI1760404891
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGRAND TRAVERSE RADIOLOGISTS PC
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing AddressPo Box 30516, Dept. 9516Lansing, MI 48909-8016 · (800) 475-6112 · Fax (423) 826-1286
Phone(231) 935-0497
Organization SubpartNo
Authorized OfficialMichelle M LungPresident · (231) 935-0497
Enumeration DateJuly 25, 2006
Last NPPES UpdateApril 29, 20203 updates tracked since enumeration
NPPES CertifiedApril 29, 2020
✔ NPI 1760404891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1105 SIXTH ST, Traverse City, MI 49684
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Other Identifiers 15

Other280047MI · Federal Black Lung
OtherXX00308MI · Healthplus Of Mi
Other10399MI · M-care
Other4055MI · Priority Health
Other53556AMI · Health Alliance Plan
Other803002MI · Community Care Plan
Other008081MI · Midwest Health Plan
Other0B87605MI · Blue Cross Blue Shield
Medicaid12088500WI
Other134232100MI · Us Dept. Of Labor
OtherN16010MI · Northmed Hmo
OtherCA3471MI · Railroad Medicare
Other104756MI · Care Choices
Other27837MI · Community Choice Mi
Other104756MI · Preferred Choices

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 Care Network of Michigan, 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.

EDWARD J WALSH MD
Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0497
STEVEN BONKOSKI PHARMD
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. ARIEL MARIE ENNIS NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3250
MRS. MICHELLE K HEARN PHARM.D.
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6581
MUNSON MEDICAL CENTER
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
KRISTINE A SIEMER OTR/L, CHT
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8600
ALYSON M BOOTH MD
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6100
DEANNE R BRIGGS LPC, CAC III
Counselor (Mental Health)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6380

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 Radiologists PC's NPI number?

The NPI number for Grand Traverse Radiologists PC is 1760404891. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Grand Traverse Radiologists PC located?

Grand Traverse Radiologists PC is located at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-0497.

What is Grand Traverse Radiologists PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Grand Traverse Radiologists PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Grand Traverse Radiologists PC 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 Radiologists PC was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.