Southern Grand Traverse Medical
NPI 1851580815 · Medical Physician Assistant · Traverse City, MI
Southern Grand Traverse Medical is a Medical Physician Assistant organization in Traverse City, MI (NPI 1851580815).
Provider details
- NPI number
- 1851580815
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gary Schaub, Owner(231) 995-4902
- License
- 5601001376 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2007-10-16
Frequently asked questions
- What is Southern Grand Traverse Medical's NPI number?
- Southern Grand Traverse Medical's National Provider Identifier (NPI) is 1851580815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Grand Traverse Medical?
- Southern Grand Traverse Medical is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southern Grand Traverse Medical located?
- Southern Grand Traverse Medical's practice location on file with NPPES is 401 Munson Ave, Traverse City, MI 49686-3041.
- What is Southern Grand Traverse Medical's phone number?
- The practice phone number listed in the NPPES registry for Southern Grand Traverse Medical is (231) 995-4902.
- Who is the authorized official for Southern Grand Traverse Medical?
- The authorized official listed on Southern Grand Traverse Medical's NPPES record is Gary Schaub, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Grand Traverse Medical's NPI active?
- Yes — Southern Grand Traverse Medical's NPI (1851580815) is active in the NPPES registry as of the last update on 2007-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.