OrganizationActive
Great Lakes Orthopaedic Center
NPI 1629234042 · General Acute Care Hospital · Traverse City, MI
Provider details
- NPI number
- 1629234042
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Thomas O'Hagan, Sports Medicine Orthopaedic Surgeon(231) 935-0900
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4045 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 935-0900
Street-level locationGet directions
Mailing address
4045 W Royal Dr
Traverse City, MI 49684-8965
Registry dates
- Enumerated
- 2008-08-05
- Last updated
- 2014-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.