MUNSON MEDICAL CENTER


Address: 1105 6th St, Traverse City, MI 49684-2345
Phone: 2319355000

MUNSON MEDICAL CENTER (NPI# 1659385334) 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) 1659385334
Entity Type Organization
Organization Name MUNSON MEDICAL CENTER
Practice Address 1105 6th St
Traverse City
MI 49684-2345
Mailing Address 2513 Momentum Pl
Chicago
IL 60689-5325
Practice Telephone 2319355000
Mailing Telephone 2319355000
Enumeration Date 2006-07-28
Last Update Date 2019-07-24
Authorized Official Name MARK HEPLER (VP)
Authorized Official Telephone 2319355000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
Allopathic & Osteopathic Physicians
Y 273R00000X Psychiatric Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
MI RAILROAD CB9942 01
MI BLUE CROSS GROUP 700B860160 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
5041 N Royal Dr Ste 1, Traverse City, MI 496846986 2319357518 2313920334

Other Provider IDs and Locations

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

Office Location

Street Address 1105 6TH ST
City TRAVERSE CITY
State MI
Zip Code 49684-2345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205831617 James D Sitek Internal Medicine 1105 6th St, Traverse City, MI 49684-2349 2005-06-14
1902418437 Allison Cook Pharmacist 1105 6th St, Traverse City, MI 49684-2345 2020-08-17
1326689332 Joseph Zerka Pharmacist 1105 6th St, Traverse City, MI 49684-2386 2019-10-01
1891344545 Noelle Warren Occupational Therapist 1105 6th St, Traverse City, MI 49684-2345 2019-09-05
1235788134 Andrea Kober Occupational Therapist 1105 6th St, Traverse City, MI 49684-2345 2019-09-04
1932757986 Lauren Smith Occupational Therapist 1105 6th St, Traverse City, MI 49684-2345 2019-09-03
1114572880 Lynne Severt Speech-Language Pathologist 1105 6th St, Traverse City, MI 49684-2345 2019-08-08
1104487214 David Friedlander Speech-Language Pathologist 1105 6th St, Traverse City, MI 49684-2345 2019-06-28
1447811161 Tracey Lynn Gray Speech-Language Pathologist 1105 6th St, Traverse City, MI 49684-2345 2019-06-24
1164083895 Jami Lynn Cooke Speech-Language Pathologist 1105 6th St, Traverse City, MI 49684-2386 2019-06-24
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982983094 Senior Psychiatric Hospitalists of Mi, Pllc Psychiatric Unit 3572 Empire State Dr, Canton, MI 48188-8202 2011-08-07
1841591260 Growing Counseling Services, LLC Psychiatric Unit 446 Tobin Dr, 311, Inkster, MI 48141-3557 2010-11-17
1548426372 Gloria Carr Psychiatric Unit 404 Velvet Ave, Portage, MI 49002-7050 2008-07-31
1356370522 Advanced Counseling Services Psychiatric Unit 6223 N Canton Center Rd, Ste. 210, Canton, MI 48187-2696 2006-07-01
1669431292 Edward W. Sparrow Hospital Association Psychiatric Unit 1210 W. Saginaw Street, Lansing, MI 48912-1999 2006-03-22
1831179837 Mclaren Greater Lansing Psychiatric Unit 2727 S Penn Ave, Lansing, MI 48910-3488 2006-01-18
1003892092 Ascension Providence Hospital Psychiatric Unit 16001 W. 9 Mile Road, Southfield, MI 48075-4818 2005-12-21
1265426704 Healthsource Saginaw Inc Psychiatric Unit 3340 Hospital Rd, Saginaw, MI 48603-9622 2005-09-09
1407480247 Prime Healthcare Services - Garden City, LLC Psychiatric Unit 6245 Inkster Rd, Garden City, MI 48135-4001 2020-03-02
1255748307 Henry Ford Health System Psychiatric Unit 1 Ford Pl, Detroit, MI 48202-3450 2014-07-21
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Competitor

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City TRAVERSE CITY
Zip Code 49684

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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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