JURGEN GERNOT RUNSCHKE


Address: 880 Munson Ave Ste A, Traverse City, MI 49686-3661
Phone: 2319461489

JURGEN GERNOT RUNSCHKE (NPI# 1134166473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134166473
Entity Type Individual
Full Name JURGEN GERNOT RUNSCHKE
Credential MD
Practice Address 880 Munson Ave Ste A
Traverse City
MI 49686-3661
Practice Telephone 2319461489
Mailing Telephone 2319461489
Enumeration Date 2006-06-02
Last Update Date 2020-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 65288 MN Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine 4301080098 MI Allopathic & Osteopathic Physicians
Y 208600000X Surgery 4301080098 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 104951052 05
MI BCBS JR080098 01
MI 104806285 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1500 E Sherman Blvd, Muskegon, MI 49443 2317399341
8300 Tamarack Vlg Ste 120, Woodbury, MN 551255359 6517317871

Office Location

Street Address 880 MUNSON AVE STE A
City TRAVERSE CITY
State MI
Zip Code 49686-3661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023486867 Brian D. Heeringa PC Surgery 880 Munson Ave Ste A, Traverse City, MI 49686-3661 2015-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245877208 Jessica Marie Glowacki Behavior Technician 935 Hemlock St, Traverse City, MI 49686 2019-12-09
1568011542 Joanne Kressley Technician 1693 Maylane Apt. 104, Traverse City, MI 49686 2019-09-11
1194283846 Pace North PACE Provider Organization 2325 Garfield Road N., Traverse City, MI 49686 2019-03-12
1245749225 Margaret Anne Goss Speech-Language Pathologist 1105 E. Eighth Street, Traverse City, MI 49686 2017-09-22
1467981811 Joan Joyce Shirilla Social Worker 2124 Twin Eagles Dr, Traverse City, MI 49686 2017-06-08
1770028763 Rehab and Mobility Systems, LLC Durable Medical Equipment & Medical Supplies 707 Parsons, Traverse City, MI 49686 2016-12-29
1629511316 Kaitlyn Grangood Social Worker 415 Munson Avenue, Ste 101, Traverse City, MI 49686 2016-11-29
1811441132 Jeffrey D Goodwin Counselor 430 Fair St., Traverse City, MI 49686 2016-08-04
1053779918 Thomas Osborne Counselor 2014 Phelps Rd., Traverse City, MI 49686 2016-02-08
1982079588 Marsha Lynne Dallas Counselor 2240 South Airport Road, Traverse City, MI 49686 2015-12-08
Find all providers in zip 49686

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780971614 Joel A Strehl Surgery 701 W Front St Ste 200, Traverse City, MI 49684-2287 2011-06-29
1083930465 Christopher Ammond Lafond Surgery 1221 Sixth St Ste. 300, Traverse City, MI 49684-2701 2010-04-11
1477753952 Edward Joseph Bergeron Surgery 1221 Sixth St Ste 202, Traverse City, MI 49684-2359 2007-07-23
1134291586 Surgical Associates of T City Pllc Surgery 1221 Sixth St. Ste. 306, Traverse City, MI 49684 2006-11-14
1518981679 David M Kam Surgery 1221 Sixth St Suite 300, Traverse City, MI 49684-2236 2006-07-26
1497789010 Brian D Heeringa Surgery 880 Munson Ave, Suite A, Traverse City, MI 49686-3661 2006-07-10
1740235886 Shelly C. Lall Surgery 1221 Sixth Street, Suite 202, Traverse City, MI 49684-2359 2006-05-24
1962403717 Robert M Dotterrer Surgery 6609 Peninsula Dr, Traverse City, MI 49686-1737 2005-08-02
1023486867 Brian D. Heeringa PC Surgery 880 Munson Ave Ste A, Traverse City, MI 49686-3661 2015-09-10
1194088468 Shruti Sevak Surgery 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 2012-06-20
Find all providers in TRAVERSE CITY

Competitor

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City TRAVERSE CITY
Zip Code 49686

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Dataset Information

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.

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