IndividualActive
Andrew Mccoubrey, PA-C
NPI 1437255924 · Surgical Physician Assistant · Traverse City, MI
Provider details
- NPI number
- 1437255924
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601003666 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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 49684-2345
Phone: (231) 935-5000
Street-level locationGet directions
Mailing address
1105 Sixth St
Traverse City, MI 49684-2386
Additional practice locations (2)
- 416 Connable AvePetoskey, MI 49770-2212Phone: (231) 487-7129Fax: (231) 487-3082
- 3537 W Front St Ste ETraverse City, MI 49684-7943Phone: (231) 935-5880Fax: (231) 935-3464
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.