LITTLE TRAVERSE BAY FAMILY MEDICINE – NPI #1417136425
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LITTLE TRAVERSE BAY FAMILY MEDICINE is a provider located in PETOSKEY, MI. NPPES has assigned the NPI number 1417136425 to LITTLE TRAVERSE BAY FAMILY MEDICINE on October 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LITTLE TRAVERSE BAY FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is R D FERGUSON DO, PC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Nov 07, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LITTLE TRAVERSE BAY FAMILY MEDICINE below.

NPI Profile for
R D FERGUSON DO, PC

NPI Number
1417136425
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
R D FERGUSON DO, PC
Doing Business As (dba): LITTLE TRAVERSE BAY FAMILY MEDICINE
Primary location
2390 MITCHELL PARK DR
UNIT C
PETOSKEY, MI 49770-8965
Phone: (231) 348-1968 Fax: (231) 348-1969
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERESA HUDSON
BILLING MANAGER
Phone: (231) 487-1141
Updated
Identifiers

Identifiers for LITTLE TRAVERSE BAY FAMILY MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI4830173
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MI 5101012069

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.