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

Individual provider Physician Assistant · NPI 1376112292

Victoria Visconti Courtade, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2021, 5 years ago. Practices with Grand Traverse Radiologists PC, a 32-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
5
Licensed in
MI, OH
In the registry since
2021
Specialties on file
2
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

1105 Sixth St
Traverse City, MI 49684-2345
Phone: (231) 935-0497
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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 5601012179 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 50.007023RX (OH)

Record details

NPI number1376112292
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

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 Grand Traverse Radiologists Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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