MUNSON MEDICAL CENTER (NPI# 1073087292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073087292 |
| Entity Type | Organization |
| Organization Name | MUNSON MEDICAL CENTER |
| Practice Address |
1105 Sixth St Traverse City MI 49684-2345 |
| Mailing Address |
2513 Momentum Pl Chicago IL 60689-5325 |
| Practice Telephone | 2319359227 |
| Practice Fax Number | 2319358215 |
| Mailing Telephone | 2319356080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | RANDI HOOD TERRY (SYSTEMS DIRECTOR IS) |
| Authorized Official Telephone | 2319355199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1376097733 | Munson Medical Center | Radiology | 217 S Madison Avenue, Traverse City, MI 49684-2320 | 2016-08-15 |
| 1699174730 | Munson Medical Center | Physician Assistant | 2513 Momentum Pl, Chicago, IL 60689-5325 | 2014-08-14 |
| 1083761860 | Munson Medical Center | Internal Medicine | 1221 Sixth St Ste 208, Traverse City, MI 49684-2360 | 2007-01-04 |
| 1922030162 | Munson Medical Center | Family Medicine | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2006-07-07 |
| 1003415118 | Munson Medical Center | Physician Assistant | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2020-10-20 |
| 1326645698 | Munson Medical Center | Psychiatry & Neurology | 1221 Sixth St, Traverse City, MI 49684-2701 | 2020-10-08 |
| 1013535046 | Munson Medical Center | Internal Medicine | 5087 N Royal Dr, Traverse City, MI 49684-6987 | 2020-07-07 |
| 1306302849 | Munson Medical Center | Internal Medicine | 224 Circle Dr, Traverse City, MI 49684-2700 | 2019-02-20 |
| Street Address |
1105 SIXTH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364315 | Kersti Bruining | Specialist | 1105 Sixth St, Traverse City, MI 49684-2345 | 2005-05-24 |
| 1366060949 | Jillian Kordecki Finn | Student in an Organized Health Care Education/Training Program | 1105 Sixth St, Traverse City, MI 49684-2345 | 2020-07-09 |
| 1457998163 | Michele Marie Pupel | Registered Nurse | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-12-02 |
| 1205473956 | Dawn Elizabeth Gilbert | Health Educator | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-12-02 |
| 1376196519 | Erin Elizabeth Ackley | Speech-Language Pathologist | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-07-17 |
| 1174185938 | Shelly Drew | Speech-Language Pathologist | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-07-02 |
| 1144881863 | Rebecca Jan Nies | Speech-Language Pathologist | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-06-24 |
| 1336704139 | Anna O'connell | Nurse Practitioner | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-05-07 |
| 1619532900 | Brittany Miller | Dietitian, Registered | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-05-02 |
| 1649735226 | Morgan Kelsey Olson | Physician Assistant | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998163 | Michele Marie Pupel | Registered Nurse | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161600 | Tiffini Ann Jones | Registered Nurse | 3624 8th St, Wyandotte, MI 48192-6509 | 2020-10-12 |
| 1093334294 | Sally M Kidman | Registered Nurse | 535 S Burdick St Ste 256, Kalamazoo, MI 49007-6112 | 2020-04-09 |
| 1205339595 | Janet Banks-mcelrath | Registered Nurse | 43421 Garfield Rd Ste 203, Clinton Twp, MI 48038-1133 | 2018-03-13 |
| 1275032849 | Bethany Wolter | Registered Nurse | 175 S Waverly Rd Ste A, Holland, MI 49423-7906 | 2018-02-08 |
| 1568974038 | Point A Organization | Registered Nurse | 12091 Cloverlawn St, Detroit, MI 48204-1012 | 2017-10-24 |
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1619346780 | Kathy Ann Bowers | Registered Nurse | 2300 N. Stallman Rd, Suttons Bay, MI 49682 | 2015-09-18 |
| 1639589526 | Jill Moore | Registered Nurse | 829 N Center Ave Ste 140, Gaylord, MI 49735-1598 | 2014-05-01 |
| 1104165851 | Frances Pachota | Registered Nurse | 28100 Grand River Ave Ste 301, Farmington Hills, MI 48336-5970 | 2013-01-31 |
| 1225292832 | Cynthia Marie Hoganson | Registered Nurse | 7696 E Claymore Ct, Canton, MI 48187-1842 | 2008-07-13 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.