MUNSON HEALTHCARE GRAYLING (NPI# 1578961660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578961660 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE GRAYLING |
| Other Organization Name | MUNSON HEALTHCARE GRAYLING PHYSICIAN NETWORK |
| Practice Address |
1100 E Michigan Ave Grayling MI 49738-1312 |
| Mailing Address |
3781 Momentum Pl Chicago IL 60689-5337 |
| Practice Telephone | 2319356080 |
| Practice Fax Number | 2319356081 |
| Mailing Telephone | 2319356080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | MR. MARK A HEPLER (CFO) |
| Authorized Official Telephone | 2319355000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSON HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | MI | Allopathic & Osteopathic Physicians | |
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Munson Healthcare Grayling Physician Network | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788639 | Munson Healthcare Grayling | Family Medicine | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-09 |
| 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 |
| 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 |
1100 E MICHIGAN AVE |
| City | GRAYLING |
| State | MI |
| Zip Code | 49738-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871066183 | Melissa Solis | Nurse Anesthetist, Certified Registered | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2019-01-09 |
| 1861963654 | Nelson Cannon | Occupational Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-12-06 |
| 1942782578 | Andrew P Brookes | Nurse Practitioner | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-08-30 |
| 1639658172 | Hospitalist Medicine Physicians of Michigan -tcg, Pllc | Internal Medicine | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-08-07 |
| 1710465141 | Jennifer Lynn Pierick | Nurse Anesthetist, Certified Registered | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-07-28 |
| 1932690971 | Jessica Schutte | Occupational Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-05-25 |
| 1609370592 | Eric Bradley South | Physical Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-03-23 |
| 1063913077 | Dereck Andrew Temple | Occupational Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-02-25 |
| 1477054799 | Laura Schweier | Physical Therapist | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-02-22 |
| 1780191478 | Bruce Daman | Nurse Practitioner | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1922543073 | Autumn Book | Assistant Behavior Analyst | 6720 Tomahawk Trl, Grayling, MI 49738 | 2016-12-28 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1629484290 | Northern Michigan Endocrine Pllc | Clinic/Center | 1200 West North Down River Rd, Suite B, Grayling, MI 49738 | 2014-07-03 |
| 1033533427 | Krista Mohr | Nurse Anesthetist, Certified Registered | 1100 East Michigan Ave, Mercy Hospital- Grayling, Grayling, MI 49738 | 2014-02-06 |
| 1295034296 | Tomlin Capps Rosi | Surgery | 1250 E. Michigan Ave, Suite D, Grayling, MI 49738 | 2011-03-17 |
| 1265754667 | Pamela Birtcher Fisher | Counselor | 204 Meadows Drive, Grayling, MI 49738 | 2010-02-26 |
| 1942478797 | Marilyn L Rosi | Nurse Practitioner | 1010 W. North Down River Road, Grayling, MI 49738 | 2008-02-14 |
| 1558557454 | Jeffrey K Chaulk Md PC | Optometrist | 1200 N Down River Rd, Grayling, MI 49738 | 2007-09-25 |
| 1528288784 | G.r.a.c.e. Center | Counselor | 6459 West M-72, Grayling, MI 49738 | 2007-04-27 |
| Find all providers in zip 49738 | ||||
| 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 |
|---|---|---|---|---|
| 1659431658 | Nestor Mendoza Guno | Family Medicine | 114 E Michigan Ave, Grayling, MI 49738-1741 | 2006-12-11 |
| 1689697930 | Ausable Medical Associates, PC | Family Medicine | 81 S. I-75 Business Loop, Grayling, MI 49738-0393 | 2006-07-26 |
| 1780670455 | Grayling Family Practice Clinic | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-27 |
| 1184062465 | John L Davis Jr. | Family Medicine | 1100 E Michigan Ave, Grayling, MI 49738-7823 | 2013-06-10 |
| 1609028992 | Joanna Lynne Nigrelli | Family Medicine | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2008-10-17 |
| 1932125655 | Vincent E. Schultz | Family Medicine | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2006-07-14 |
| 1952398638 | William H Mcnamara | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-29 |
| 1366439044 | Gregg B Hanert | Family Medicine | 1250 E Michigan Ave, Grayling, MI 49738 | 2005-09-29 |
| 1891782421 | Thad M Jackson | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-29 |
| 1821085507 | Charles L Gosling | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-29 |
| Find all providers in GRAYLING | ||||
Please comment or provide details below to improve the information on MUNSON HEALTHCARE GRAYLING.
| 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.