GREAT LAKES ORTHOPAEDIC CENTER, P.C.
NPI 1952323453
Orthopaedic Surgery in Traverse City, MI

Q: What is Great Lakes Orthopaedic Center, P.C.'s NPI number?

The NPI number for Great Lakes Orthopaedic Center, P.C. is 1952323453. It was assigned to this organization in the NPPES registry on July 24, 2006.

Q: What is Great Lakes Orthopaedic Center, P.C.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since July 24, 2006

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

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Great Lakes Orthopaedic Center, P.c. NPPES

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

GREAT LAKES ORTHOPAEDIC CENTER, P.C. (NPI 1952323453) is a healthcare organization registered as an orthopaedic surgery in Traverse City, Michigan and active in the NPI registry since July 2006. The organization lists Chrissy Durga, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952323453

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameGREAT LAKES ORTHOPAEDIC CENTER, P.C.

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

Organization SubpartNo

Authorized OfficialChrissy DurgaAdministrator · (231) 929-5734

Enumeration DateJuly 24, 2006

Last NPPES UpdateOctober 22, 2020

NPPES CertifiedOctober 22, 2020

✔ NPI 1952323453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X

4045 W ROYAL DR, Traverse City, MI 49684

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Other Identifiers 1

Other200B811700MI · Blue Cross Blue Shield Group Id #

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.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