MUNSON MEDICAL CENTER (NPI# 1689897779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689897779 |
| Entity Type | Organization |
| Organization Name | MUNSON MEDICAL CENTER |
| Practice Address |
1105 6th St Traverse City MI 49684-2345 |
| Practice Telephone | 2319356584 |
| Practice Fax Number | 2319355667 |
| Mailing Telephone | 2319356584 |
| Mailing Fax Number | 2319355667 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | GILBERT BOWLBY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2319356584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301000449 | MI | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
5301000449 | MI | Suppliers |
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
5301000449 | MI | Suppliers |
| 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 |
| Street Address |
1105 6TH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2345 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972600807 | Gtp Institutional Phcy | Pharmacy | 1000 Pavillions Cir, Traverse City, MI 49684-3198 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083485 | Msu Health Care Inc. | Pharmacy | 4660 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5353 | 2020-01-29 |
| 1669742136 | Pharmd Co | Pharmacy | 8191 S State Rd, Goodrich, MI 48438-9723 | 2011-12-30 |
| 1942385570 | Msu Health Care Inc | Pharmacy | 804 Service Rd Ste A101, East Lansing, MI 48824-7015 | 2006-10-25 |
| 1962515221 | Michigan State University | Pharmacy | 463 E Circle Dr. Rm103, East Lansing, MI 48824 | 2006-08-17 |
| 1457387185 | Gps of Michigan Institutional | Pharmacy | 1201 Keystone Ave, Ste A, Lansing, MI 48911-4041 | 2006-06-24 |
| 1710923107 | Asap Rx Inc | Pharmacy | 12699 Farley, Redford, MI 48239-2642 | 2006-06-22 |
| 1700401064 | Anthony Ibrahim | Pharmacy | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1376040659 | Midmichigan Medical Center - Midland | Pharmacy | 4000 Wellness Dr, Midland, MI 48670-2000 | 2018-04-12 |
| 1912459231 | Helen Newberry Joy Hospital Pharmacy | Pharmacy | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-11-03 |
| 1518344720 | Borgess Medical Center (inpatient Pharmacy) | Pharmacy | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2015-04-27 |
| Find all providers with the same taxonomy | ||||
| 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.