MUNSON MEDICAL CENTER (NPI# 1932363454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932363454 |
| Entity Type | Organization |
| Organization Name | MUNSON MEDICAL CENTER |
| Practice Address |
1105 6th St Traverse City MI 49684-2345 |
| Mailing Address |
Po Box 1131 Traverse City MI 49685-1131 |
| Practice Telephone | 2319355000 |
| Mailing Telephone | 2319355000 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | ED NESS (CEO) |
| Authorized Official Telephone | 2319355000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | ========= | MI | Hospital Units |
| Y | 273R00000X | Psychiatric Unit | ========= | MI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BEHAVIORAL | 20064 | 01 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| 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. |
| 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 |
| 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.