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Grand Traverse Pathology, Pllc

Anatomic Pathology & Clinical Pathology Physician in Traverse City, MI · enumerated 2006 · authorized official Amy Ferguson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306868427

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Traverse Pathology, Pllc
Practice address 1105 6th St, Traverse City, MI, 49684
Enumeration date Jul 25, 2006
Last updated in NPPES Apr 15, 2025

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Amy Ferguson
Title President

Other identifiers

Identifier Type State Issuer
510047 Other MI PREFERRED CHOICES
820 Other MI PRIORITY HEALTH
CB1092 Other MI RAILROAD MEDICARE
0B87602 Other MI BCBS
36478 Other MI COMMUNITY CHOICE OF MI
018175 Other MI MIDWEST HEALTH PLAN
53481A Other MI HEALTH ALLIANCE PLAN
XX01516 Other MI HEALTHPLUS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Grand Traverse Pathology, Pllc?
Grand Traverse Pathology, Pllc is registered in NPPES as a Anatomic Pathology & Clinical Pathology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-15.