MUNSON HEALTHCARE GRAYLING (NPI# 1235788639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235788639 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE GRAYLING |
| Other Organization Name | MUNSON HEALTHCARE MIO PRIMARY CARE |
| Practice Address |
1321 S Mount Tom Rd Mio MI 48647-9518 |
| Practice Telephone | 9892751200 |
| Practice Fax Number | 9892751210 |
| Mailing Telephone | 9892751200 |
| Mailing Fax Number | 9892751210 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | MARK HEPLER (CFO) |
| Authorized Official Telephone | 2319356512 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSON HEALTHCARE GRAYLING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mio Primary Care | Doing Business As Name - Organization |
| Munson Healthcare Mio Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1508492133 | Munson Healthcare Grayling | Internal Medicine | 1200 W North Down River Rd Ste C, Grayling, MI 49738-8024 | 2020-03-16 |
| 1093349698 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2020-02-24 |
| 1235789751 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-17 |
| 1245892546 | Munson Healthcare Grayling | Audiologist | 1250 E Michigan Ave Ste C, Grayling, MI 49738-7074 | 2019-07-08 |
| 1598131617 | Munson Healthcare Grayling | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2015-08-12 |
| 1952787129 | Munson Healthcare Grayling | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-08-10 |
| 1689050858 | Munson Healthcare Grayling | Psychologist | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2015-08-10 |
| 1578961660 | Munson Healthcare Grayling | Orthopaedic Surgery | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2014-12-05 |
| 1710383351 | Munson Healthcare Grayling | Clinic/Center | 234 Lake St, Roscommon, MI 48653-9203 | 2014-11-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MUNSON HEALTHCARE GRAYLING HOSPITAL | 1100 E Michigan Ave, Grayling, MI 49738-1312 |
| Street Address |
1321 S MOUNT TOM RD |
| City | MIO |
| State | MI |
| Zip Code | 48647-9518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349698 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2020-02-24 |
| 1235789751 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831480490 | Terrence Lee Krumbach | Pharmacist | 101 South Morenci, Rite Aid Discount Pharmacy #1715, Mio, MI 48647 | 2011-04-29 |
| 1588961502 | Debra K Alderton Pattullo | Counselor | 831 W. Miller Road, Mcog, Mio, MI 48647 | 2011-02-28 |
| 1982735999 | James Stephens Mangutz | Dentist | 107 E. Eighth St., Mio, MI 48647 | 2007-03-08 |
| 1053690438 | Mclaren Bay Region | Internal Medicine | 558 Lockwood Ln, Mio, MI 48647 | 2011-08-16 |
| 1467719252 | Michigan Physical Therapy, Inc. | Clinic/Center | 124 South Morenci Street, Mio, MI 48647-1032 | 2012-04-18 |
| 1063493989 | Pioneer Family Pharmacy Inc | Pharmacy | 114 South Morenci Ave, Mio, MI 48647-1060 | 2005-11-08 |
| 1700212479 | Family Fitness and Rehabilitation, LLC | Clinic/Center | 122 S Morenci Ave Ste A, Mio, MI 48647-2508 | 2013-09-25 |
| 1457644262 | Richard Daniel Graebner | Pharmacist | 101 S Morenci Ave, Mio, MI 48647-2508 | 2011-05-26 |
| 1164755187 | Angie A. Miller | Pharmacist | 114 S Morenci Ave, Mio, MI 48647-2508 | 2009-09-09 |
| 1043358393 | Michigan Institute of Rehabilitative Services, Inc | Clinic/Center | 122 S. Morenci Avenue, Mio, MI 48647-2508 | 2007-02-01 |
| Find all providers in zip 48647 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871522011 | Mclaren Primary Care | Family Medicine | 558 Lockwood Ln, Mio, MI 48647-9387 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.