Pontiac Trail Medical Center – Physician Assistant, NPI 1790901072

Pontiac Trail Medical Center is a healthcare provider. based in Walled lake, Michigan. specializing in Physician Assistant. The organization holds a License No. 5101013058 (MI). The NPI Number for Pontiac Trail Medical Center is 1790901072

Main info

Organization
Name
Pontiac Trail Medical Center
NPI
1790901072
Phone
(248) 624-4511
Address
620 N PONTIAC TRL
Authorized Official
MRS. DEBBIE SUE WITT-HAGGERTY OFFICE MANAGER
Enumeration Date
17 April 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness90
Years active:19State licenses:3Digital endpoints

Provider Addresses for Pontiac Trail Medical Center

  • 620 N PONTIAC TRL

    WALLED LAKE, MI 483903443

    Phone: (248) 624-4511

    Fax: (248) 624-4408

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48390)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Pontiac Trail Medical Center share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Pontiac Trail Medical Center uses 1790901072.
Is Pontiac Trail Medical Center listed as active for patients and plans?
The listing shows Pontiac Trail Medical Center as active in the NPI system.
What is Pontiac Trail Medical Center best known for clinically?
Directory data describes Pontiac Trail Medical Center with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is Pontiac Trail Medical Center based?
Pontiac Trail Medical Center is tied to Walled Lake, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

JULIE MARIE MICHELI (PA C)

Physician Assistant
620, North Pontiac Trail, Walled Lake, Oakland County, Michigan, 48390, United States
NPI: 1285627802

REBECCA ROSE (PA)

Physician Assistant
415 BOARDWALK DR
NPI: 1861663502
262 NEPTUNE DR
NPI: 1366703928

FARAH ANN ARAFAT (PA-C)

Physician Assistant
3600 W 13 MILE RD
NPI: 1992118152

MARISA KARCZ CLAYSEN (PA-C)

Physician Assistant
55 N Pond Dr Ste 6
NPI: 1457752974

HALEY MAE JOHNSON (PA)

Medical Physician Assistant
10226 Couloak Dr
NPI: 1386195295

SARAH GORIAL (PA-C)

Physician Assistant
1839 PAYSON RD
NPI: 1427664697

JACOB MASTROPAOLO (PA-C)

Physician Assistant
620 N Pontiac Trl
NPI: 1356940175

SELENA SHEPPARD (PA-C)

Physician Assistant
620 N PONTIAC TRL
NPI: 1295491041