MUNSON MEDICAL CENTER (NPI# 1922023647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922023647 |
| Entity Type | Organization |
| Organization Name | MUNSON MEDICAL CENTER |
| Other Organization Name | T SCHERMERHORN MD |
| Practice Address |
1221 6th St Suite 100 Traverse City MI 49684-2359 |
| Practice Telephone | 2313920460 |
| Practice Fax Number | 2313920643 |
| Mailing Telephone | 2313920460 |
| Mailing Fax Number | 2313920643 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-12-01 |
| Authorized Official Name | MARK HEPLER (CFO) |
| Authorized Official Telephone | 2319355000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS LICENSE | TS083353 | 01 |
| MI | BCBS MICHIGAN GROUP | 700B860160 | 01 |
| MI | RAIL ROAD GROUP NUMBER | CB9942 | 01 |
| Other Name | Type Code |
|---|---|
| T SCHERMERHORN MD | Doing Business As Name - Organization |
| 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 |
1221 6TH ST SUITE 100 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870104 | Ann K Kuenker | Family Medicine | 1221 6th St, Ste 208, Traverse City, MI 49684-2360 | 2005-06-13 |
| 1679797195 | Cardiothoracic Surgeons of G.t. | Surgery | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 | 2007-04-13 |
| 1063635530 | Susan B Tuttle | Nurse Practitioner | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 | 2007-04-11 |
| 1093938193 | Richard G Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 | 2007-04-10 |
| 1770706889 | Nancy L Slabosz | Nurse Practitioner | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 | 2007-04-10 |
| 1093838633 | Cardiothoracic Surgeons | Nurse Practitioner | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 | 2007-04-09 |
| 1467575944 | Mack Carlyle Stirling | Surgery | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 | 2007-04-09 |
| 1073669024 | Harry R Borovik Md PC | Hearing Aid Equipment | 1221 6th St, Suite 102, Traverse City, MI 49684-2359 | 2007-01-25 |
| 1669559399 | Amy S Collins | Nurse Practitioner | 1221 6th St, Suite 204, Traverse City, MI 49684-2359 | 2006-11-01 |
| 1700960622 | Munson Medical Center | Internal Medicine | 1221 6th St, Suite 206, Traverse City, MI 49684-2359 | 2006-10-25 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962026 | Thomas Carll Schermerhorn | Neurological Surgery | 1221 Sixth St Ste 300, Traverse City, MI 49684 | 2005-06-21 |
| 1942685045 | Munson Medical Center | Neurological Surgery | 1221 Sixth St, Ste 100, Traverse City, MI 49684-2701 | 2015-07-30 |
| 1649680224 | Spectrum Health Primary Care Partners | Neurological Surgery | 3537 W Front St, Traverse City, MI 49684-7941 | 2014-05-05 |
| 1538479357 | J. Eric Zimmerman, M.d., P.C. | Neurological Surgery | 1221 Sixth St, Suite 303, Traverse City, MI 49684-2701 | 2010-10-14 |
| 1598083362 | Paul F. Davis, M.d., P.l.c. | Neurological Surgery | 1221 Sixth St, Suite 303, Traverse City, MI 49684-2701 | 2010-05-04 |
| 1427153329 | John A Campbell | Neurological Surgery | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2006-09-14 |
| 1619973708 | John Eric Zimmerman | Neurological Surgery | 1221 6th St, Ste 303, Traverse City, MI 49684-2360 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026205 | Clark J Okulski | Neurological Surgery | 15366 Windmill Pointe Dr, Grosse Pointe Park, MI 48230-1744 | 2020-02-25 |
| 1801371380 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 502 W Harrie St Fl 2, Newberry, MI 49868-1209 | 2018-10-01 |
| 1750871745 | Sara Saleh | Neurological Surgery | 1500 E Medical Center Dr Spc 5338, Ann Arbor, MI 48109-5338 | 2018-05-15 |
| 1639608664 | Aaron Rapp | Neurological Surgery | 3601 W 13 Mile Rd Dept, Gme Dept. Neurosurgery, Royal Oak, MI 48073-6712 | 2017-06-04 |
| 1386171775 | Inscribed Pllc | Neurological Surgery | 30400 Telegraph Rd Ste 350, Bingham Farms, MI 48025-5814 | 2017-05-16 |
| 1972956597 | University Neurosurgical Associates, PC | Neurological Surgery | 42450 Hayes Rd, Ste 100, Clinton Twp, MI 48038-6769 | 2016-07-19 |
| 1134579451 | Chad Claus | Neurological Surgery | 21080 Birchwood St, Farmington, MI 48336-5006 | 2016-06-17 |
| 1629451901 | Dejan Slavnic | Neurological Surgery | 42758 Georgetown, Novi, MI 48375-1766 | 2015-07-03 |
| 1467842955 | Institute of General and Endovascular Neurosurgery | Neurological Surgery | 1295 S. Linden Road, Suite A, Flint, MI 48532 | 2015-02-04 |
| 1437566783 | Dali Yin | Neurological Surgery | 4800 S Saginaw St Ste 1800, Flint, MI 48507 | 2014-07-18 |
| 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.