Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Traverse Area Pediatric and Adolescent Clinic PLC

Organization Pediatrics Physician · NPI 1821380031

Traverse Area Pediatric and Adolescent Clinic PLC is a Pediatrics Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

4020 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 421-8099
Fax: (231) 421-8599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2522728 (MI)

Record details

NPI number1821380031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Smith — Managing Partner · (231) 421-8099
NPI enumeratedMay 5, 2011
Last updated in NPPESApril 16, 2013
Mailing address4020 W Royal Dr, Traverse City, MI 49684-8965

Other providers in Traverse City