MUNSON MEDICAL CENTER (NPI# 1952532863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952532863 |
| Entity Type | Organization |
| Organization Name | MUNSON MEDICAL CENTER |
| Practice Address |
1104 Cass St Traverse City MI 49684-3236 |
| Practice Telephone | 2319411155 |
| Practice Fax Number | 2319411347 |
| Mailing Telephone | 2319411155 |
| Mailing Fax Number | 2319411347 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-12-22 |
| Authorized Official Name | MARK A HEPLER (INTERIM CFO) |
| Authorized Official Telephone | 2319357767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301084179 | MI | Other Service Providers |
| 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 |
1104 CASS ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730157652 | Jill Norene Polmateer | Nurse Practitioner | 1104 Cass St, Traverse City, MI 49684-3236 | 2006-03-08 |
| 1558924654 | Kara Guy | Nurse Practitioner | 1104 Cass St, Traverse City, MI 49684-3236 | 2019-04-15 |
| 1851646947 | William J. Mccool | Specialist | 1104 Cass St, Traverse City, MI 49684-3236 | 2012-07-16 |
| 1629210224 | Drew V Collins Md PC | Specialist | 1104 Cass St, Traverse City, MI 49684-3236 | 2009-03-27 |
| 1598943292 | Eric Ross Snyder | Otolaryngology | 1104 Cass St, Traverse City, MI 49684-3236 | 2008-02-05 |
| 1023217064 | Lori Ann Lemonnier | Otolaryngology | 1104 Cass St, Traverse City, MI 49684 | 2007-07-11 |
| 1437255254 | Richard C Schultz Md & Associates PC | Specialist | 1104 Cass St, Traverse City, MI 49684-3236 | 2006-09-16 |
| 1386612935 | Richard C. Schultz Jr. | Otolaryngology | 1104 Cass St, Traverse City, MI 49684-3236 | 2006-03-09 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316358385 | Jp Center for Plastic Surgery PC | Specialist | 3529 West Front St, Jp Center for Plastic Surgery PC, Traverse City, MI 49684 | 2014-05-13 |
| 1306082755 | Bay Area Dermatology | Specialist | 999 Sixth St, Traverse City, MI 49684-2301 | 2009-01-06 |
| 1487744496 | Dr Luis Felix Oxholm PC | Specialist | 4020 Copper View Dr., Suite 211, Traverse City, MI 49684-7098 | 2006-10-13 |
| 1225142854 | Diane Parsons, Md, Pllc | Specialist | 3537 W Front St Ste A, Traverse City, MI 49684-7942 | 2006-08-19 |
| 1538158688 | Cornelius Robens | Specialist | 3865 W Front St Ste 4, Traverse City, MI 49684 | 2005-10-20 |
| 1558364315 | Kersti Bruining | Specialist | 1105 Sixth St, Traverse City, MI 49684-2345 | 2005-05-24 |
| 1851646947 | William J. Mccool | Specialist | 1104 Cass St, Traverse City, MI 49684-3236 | 2012-07-16 |
| 1033424619 | Natalie Rose Ramsey | Specialist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2010-08-08 |
| 1497070502 | Dr. Heather K. Lee, D.o., Pllc | Specialist | 3537 W Front St Ste A, Traverse City, MI 49684-7942 | 2010-03-31 |
| 1629210224 | Drew V Collins Md PC | Specialist | 1104 Cass St, Traverse City, MI 49684-3236 | 2009-03-27 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on MUNSON MEDICAL CENTER.
| 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.