MUNSON HEALTHCARE CADILLAC (NPI# 1750871117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750871117 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE CADILLAC |
| Practice Address |
302 Hobart St Cadillac MI 49601-2379 |
| Mailing Address |
3782 Momentum Place Chicago IL 60689-5337 |
| Practice Telephone | 2318762644 |
| Mailing Telephone | 2319356080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726577 | Munson Healthcare Cadillac | Urology | 1011 Sunnyside Dr, Cadillac, MI 49601-8735 | 2020-06-30 |
| 1407400369 | Munson Healthcare Cadillac | Clinic/Center | 400 Hobart St, Cadillac, MI 49601-2331 | 2019-07-30 |
| 1043778194 | Munson Healthcare Cadillac | Family Medicine | 100 N Roland St, Mc Bain, MI 49657-9683 | 2019-03-07 |
| 1982110524 | Munson Healthcare Cadillac | Orthopaedic Surgery | 8872 Professional Dr Ste B, Cadillac, MI 49601-8482 | 2017-12-19 |
| 1366828527 | Munson Healthcare Cadillac | Family Medicine | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2015-08-10 |
| 1336539063 | Munson Healthcare Cadillac | Clinic/Center | 100 N Roland St, Mc Bain, MI 49657-9683 | 2015-02-03 |
| 1336547041 | Munson Healthcare Cadillac | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2014-12-11 |
| 1871991596 | Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | 400 Hobart St, Cadillac, MI 49601-2331 | 2014-12-11 |
| 1487051611 | Munson Healthcare Cadillac | Obstetrics & Gynecology | 400 Hobart St, Cadillac, MI 49601-2331 | 2014-12-03 |
| 1912303728 | Munson Healthcare Cadillac | Clinic/Center | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2014-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MUNSON HEALTHCARE CADILLAC HOSPITAL | 400 Hobart St, Cadillac, MI 49601-2331 |
| Street Address |
302 HOBART ST |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528098498 | Alan Grillo | Emergency Medicine | 302 Hobart St, Cadillac, MI 49601-2379 | 2006-07-04 |
| 1558993667 | Jacob James Ballard | Nurse Practitioner | 302 Hobart St, Cadillac, MI 49601-2379 | 2020-02-06 |
| 1679758080 | David H Adams | Physician Assistant | 302 Hobart St, Cadillac, MI 49601-2379 | 2008-01-03 |
| 1356437263 | Sarah A Smoes | Physician Assistant | 302 Hobart St, Cadillac, MI 49601-2379 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
| Find all providers in zip 49601 | ||||
| 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 |
|---|---|---|---|---|
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1477632842 | Kerry M Day-krusniak | Family Medicine | 7597 Mackinaw Trl, Cadillac, MI 49601-8422 | 2006-11-04 |
| 1912908252 | Gerald Dudek | Family Medicine | 827 E Division St, Cadillac, MI 49601-2015 | 2005-08-09 |
| 1316945017 | Tania M Lebaron | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2005-07-07 |
| 1295738060 | Douglas E Cox | Family Medicine | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2005-05-24 |
| 1740773456 | Amanda M Shoemaker | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-06-08 |
| 1164914214 | Natalie E Cook | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-06-05 |
| 1902398514 | Richard F Giannotti Jr. | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-05-31 |
| 1184116873 | Derek E Pyne | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-05-30 |
| 1225564248 | Anne Broad | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2017-05-11 |
| Find all providers in CADILLAC | ||||
Please comment or provide details below to improve the information on MUNSON HEALTHCARE CADILLAC.
| 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.