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

Charles Whittaker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215671458

Charles Whittaker is a Family Practice in Traverse City, Michigan. Qualified in 2022, 4 years ago. Practices with Munson Healthcare Grayling, a 64-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone: (231) 935-8000
Fax: (231) 935-8099
Show map & directions

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

Additional practice locations (2)

  • 1250 E Michigan Ave Ste C, Grayling, MI 49738-7074 — (989) 348-0550
  • 1100 E Michigan Ave, Grayling, MI 49738-1312 — (989) 348-5461

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1215671458 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215671458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address1400 Medical Campus Dr, Traverse City, MI 49684-7823

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Munson Healthcare Grayling — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Traverse City