OrganizationActive
Traverse Bay Hospitalists, PLLC
NPI 1326450693 · Internal Medicine Physician · Traverse City, MI
Provider details
- NPI number
- 1326450693
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Videan, Provider Enrollment(800) 968-6866
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1105 Sixth St
Traverse City, MI 49684-2349
Phone: (800) 968-6866
Street-level locationGet directions
Mailing address
Po Box 2388
Grand Rapids, MI 49501-2388
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2014-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.