MUSNON MEDICAL CENTER (NPI# 1184988750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184988750 |
| Entity Type | Organization |
| Organization Name | MUSNON MEDICAL CENTER |
| Other Organization Name | MUNSON ONCOLOGY SKYVIEW |
| Practice Address |
4960 Skyview Court Traverse City MI 49684-7173 |
| Practice Telephone | 2319473070 |
| Practice Fax Number | 2319475934 |
| Mailing Telephone | 2319473070 |
| Mailing Fax Number | 2319475934 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | MARK HEPLER (CFO) |
| Authorized Official Telephone | 2319356512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Munson Oncology Skyview | Doing Business As Name - Organization |
| Street Address |
4960 SKYVIEW COURT |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-7173 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003870106 | Robert C Schwert Do PC | Internal Medicine | 4960 Skyview Ct, Traverse City, MI 49684-7173 | 2006-04-14 |
| 1376510362 | Richard P Kosinski | Internal Medicine | 6321 S West Bay Shore Dr, Traverse City, MI 49684-9208 | 2006-03-08 |
| 1891760922 | Traverse Area Hematology/oncology P.C. | Internal Medicine | 5041 N Royal Dr, Suite 2, Traverse City, MI 49684-6986 | 2006-02-22 |
| 1023372687 | Munson Medical Center | Internal Medicine | 217 S Madison Street, Ste 2, Traverse City, MI 49684 | 2012-06-28 |
| 1649579764 | Munson Medical Center | Internal Medicine | 3537 W Front St, Ste. H, Traverse City, MI 49684-7941 | 2011-03-16 |
| 1760793368 | Kristian Michael Koller | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2010-06-29 |
| 1770746257 | Joshua Michael Ruch | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2008-07-06 |
| 1659532034 | Yelena Kier | Internal Medicine | 217 S Madison St, Traverse City, MI 49684 | 2008-06-19 |
| 1316064041 | Zachary Hector-word | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2007-03-26 |
| 1477519940 | David S Gordon | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-04-25 |
| Find all providers in TRAVERSE CITY | ||||
| 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.