Shelly Marie Dale (NPI# 1982266896, PAC ID# 2365778073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982266896 |
| PAC ID by PECOS | 2365778073 |
| Professional Enrollment ID | I20190801001096 |
| Full Name | Shelly Marie Dale |
| Organization Legal Name | MUNSON MEDICAL CENTER |
| Address |
405 N Division Rd Suite 2 Petoskey MI 49770-9046 |
| Phone Number | 2314872270 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072426287 |
| Number of Group Practice Members | 228 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231322 | CHARLEVOIX AREA HOSPITAL |
| 230105 | MCLAREN NORTHERN MICHIGAN |
| Address | Phone | Organization |
|---|---|---|
| 405 N Division Rd, Suite 2, Petoskey, MI 49770-9046 | 2314872270 | MUNSON MEDICAL CENTER |
| Organization Legal Name | MUNSON MEDICAL CENTER |
| Physicians | 228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Ann Kintigh | Nurse Practitioner | Munson Medical Center | 5041 N Royal Dr, 2 Munson Oncology N Royal Dr, Traverse City, MI 49684-6986 |
| Holly Hinds | Nurse Practitioner | Munson Medical Center | 4062 W Royal Dr, Traverse City, MI 49684-8965 |
| Andrew C Luea | Urology | Munson Medical Center | 3922 Cedar Run Rd, Bay Area, Traverse City, MI 49684-9687 |
| Zachary Hector Word | Hematology/oncology | Munson Medical Center | 217 S Madison St, Traverse City, MI 49684-2321 |
| Jill E Vollbrecht | Endocrinology | Munson Medical Center | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 |
| Roche J Featherstone | General Surgery | Munson Medical Center | 701 W Front St, Suite 200, Traverse City, MI 49684-2287 |
| David S Gordon | Hematology/oncology | Munson Medical Center | 4960 Skyview Ct, Traverse City, MI 49684-7173 |
| Elizabeth Shannon Elliot | Internal Medicine | Munson Medical Center | 224 Circle Dr, Traverse City, MI 49684-2700 |
| Martha A Frankowski | Neurology | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Samantha K Windle | Family Medicine | Munson Medical Center | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 |
| Street Address |
405 N DIVISION RD SUITE 2 |
| City | PETOSKEY |
| State | MI |
| Zip | 49770-9046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert T Linehan Iv | Allergy/immunology | 405 N Division Rd, Suite 4, Petoskey, MI 49770-9046 | |
| Howard M Topley | Urology | Munson Medical Center | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9046 |
| James M Howard | Urology | Munson Medical Center | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Kolt | Chiropractic | 1508 Us 31, Petoskey, MI 49770-0065 | |
| James J Beno | Chiropractic | 8983 M, Suite 119, Petoskey, MI 49770-0479 | |
| Amy Beck | Clinical Social Worker | 500 Madison St, Petoskey, MI 49770-2208 | |
| Amy L Juneau | Clinical Social Worker | 500 Madison St, Petoskey, MI 49770-2208 | |
| Timothy Robert La Gasse | Nurse Practitioner | Ecs Northern Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Keely Marie Blosh | Nurse Practitioner | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Gary H Shaw | Nephrology | Northern Michigan Medical Management | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Janean Ruth Haggins-dabney | Hospitalist | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Nel R Go | Diagnostic Radiology | Northern Imaging Associates PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Saw San | Hospitalist | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Find all physicians in zip 49770 | |||
| City | PETOSKEY |
| Zip Code | 49770 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PETOSKEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shelly Marie Dale.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.