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

Individual provider Physician Assistant · NPI 1083358436

Angela Pailthorpe, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2021, 5 years ago. Practices with The Skin Cancer and Dermatology Center PLC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 929-5734
Fax: (231) 935-0312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011101 (MI)

Record details

NPI number1083358436
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Skin Cancer And Dermatology Center Plc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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