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DR. VINCENT R PRUSICK M.D.
NPI 1922022888
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Traverse City, MI

Active since July 26, 2006
4045 W ROYAL DR, TRAVERSE CITY, MI 49684(231) 935-0900(231) 935-0308 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vincent R Prusick M.d. NPPES

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

DR. VINCENT R PRUSICK M.D. (NPI 1922022888) is an individual orthopaedic surgery of the spine provider in Traverse City, Michigan, licensed in Michigan (4301044833) and active in the NPI registry since July 2006. He maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1922022888
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. VINCENT R PRUSICKCredential: M.D.
Location Address4045 W ROYAL DRTraverse City, MI 49684-8965
Mailing Address4045 W Royal DrTraverse City, MI 49684-8965 · (231) 935-0900 · Fax (231) 935-0308
Phone(231) 935-0900
Fax(231) 935-0308
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 18, 2022
NPPES CertifiedFebruary 18, 2022
✔ NPI 1922022888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in MI · 4301044833
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
4045 W ROYAL DR, Traverse City, MI 49684
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Secondary Practice Location 1

Location 13988 W Royal DrTraverse City, MI 49684-9200 · Phone (231) 421-1599

Other Identifiers 1

Medicaid103105033MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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.

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 Vincent Prusick's NPI number?

The NPI number for Vincent Prusick is 1922022888. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Vincent Prusick located?

Vincent Prusick practices at 4045 W Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 935-0900.

What is Vincent Prusick's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

What insurance does Vincent Prusick accept?

Health plans from Priority Health list Vincent Prusick 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 Vincent Prusick was last updated on February 18, 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.