| West Front Primary Care, P.l.l.c. | |
|
4290 Copper Ridge Dr Ste 200 Traverse City MI 49684-7205 | |
| (231) 935-8930 | |
| (231) 935-8811 |
| Full Name | West Front Primary Care, P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4290 Copper Ridge Dr Ste 200, Traverse City, Michigan |
| Authorized Official Name and Position | Tobin J. Fraser (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 2319358930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Front Primary Care, P.l.l.c. 4290 Copper Ridge Dr Ste 200 Traverse City MI 49684-7205 Ph: (231) 935-8930 | West Front Primary Care, P.l.l.c. 4290 Copper Ridge Dr Ste 200 Traverse City MI 49684-7205 Ph: (231) 935-8930 |
| NPI Number | 1851490296 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 4183514706 |
|---|---|
| Medicare Enrollment ID | O20040317001391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851490296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nathan E March |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467462762 PECOS PAC ID: 6305737586 Enrollment ID: I20040324001585 |
| Provider Name | Tobin J Fraser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336159102 PECOS PAC ID: 5193615284 Enrollment ID: I20040414001425 |
| Provider Name | Bradley P Goodwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326058124 PECOS PAC ID: 8921998014 Enrollment ID: I20040414001480 |
| Provider Name | Mark A Priest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720157688 PECOS PAC ID: 0042277840 Enrollment ID: I20041215000296 |
| Provider Name | Anessa L Songer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316081326 PECOS PAC ID: 7719072206 Enrollment ID: I20070928000048 |
| Provider Name | Kari L Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780850941 PECOS PAC ID: 8224106356 Enrollment ID: I20081002000525 |
| Provider Name | Mark David Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669449443 PECOS PAC ID: 9133259401 Enrollment ID: I20100612000069 |
| Provider Name | Renee M Tamlyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962654277 PECOS PAC ID: 8729259619 Enrollment ID: I20110926000812 |
| Provider Name | Kylee Lynn Gatzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730431917 PECOS PAC ID: 9537310701 Enrollment ID: I20121116000019 |
| Provider Name | Aaron J Heindl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457663361 PECOS PAC ID: 5597908905 Enrollment ID: I20130904000892 |
| Provider Name | Hilarion H Bibicoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114367703 PECOS PAC ID: 6406166628 Enrollment ID: I20160728000381 |
| Provider Name | Tina Maria Metropoulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851529614 PECOS PAC ID: 9032346697 Enrollment ID: I20160908000111 |
| Provider Name | Leah Walbridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720515190 PECOS PAC ID: 0345577029 Enrollment ID: I20190805001305 |
| Provider Name | Thomas C Walbridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710414180 PECOS PAC ID: 1951638634 Enrollment ID: I20190805001440 |
| Provider Name | Laura Elizabeth Kroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134761588 PECOS PAC ID: 5991037228 Enrollment ID: I20191105003034 |
| Provider Name | Amanda G Blades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497326045 PECOS PAC ID: 3779988506 Enrollment ID: I20210818000326 |
County Health Support Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Washington St, Traverse City, MI 49684 Phone: 231-922-4532 | |
Northwest Michigan Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1776 3 Mile Rd N Rm 522, Traverse City, MI 49696 Phone: 231-642-9295 | |
Best Medical Services Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 S Garfield Ave Ste C, Traverse City, MI 49686 Phone: 231-922-8722 Fax: 231-486-6042 | |
Munson Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 Sixth St Ste 208, Traverse City, MI 49684 Phone: 231-935-2045 Fax: 231-935-2046 | |
Partners In Health Of Traverse City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3074 N Us 31 S, Traverse City, MI 49684 Phone: 231-935-0535 Fax: 231-935-0454 | |
Indigo Hospital Medicine - Traverse City, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-346-6807 Fax: 231-346-6052 | |
Bayside Doc's Urgent Care Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Munson Ave, Traverse City, MI 49686 Phone: 231-933-9150 Fax: 231-933-1553 |