MUNSON MEDICAL CENTER (NPI# 1003415118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003415118 |
| Entity Type | Organization |
| Organization Name | MUNSON MEDICAL CENTER |
| Practice Address |
3074 N Us 31 S Traverse City MI 49684-4533 |
| Practice Telephone | 2319291234 |
| Practice Fax Number | 2319350984 |
| Mailing Telephone | 2319291234 |
| Mailing Fax Number | 2319350984 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | MARK HEPLER (CFO) |
| Authorized Official Telephone | 2319356512 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSON MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Munson Walk In Clinic | 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 |
| 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 |
| 1073087292 | Munson Medical Center | Registered Nurse | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-01-22 |
| Street Address |
3074 N US 31 S |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438790 | Peter W Springsteen | Family Medicine | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2005-06-21 |
| 1447859558 | Munson Medical Group | Nurse Practitioner | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2020-10-20 |
| 1427417708 | Christine E Miliken | Physician Assistant | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2016-02-16 |
| 1104124171 | Partners In Health of Traverse City | Family Medicine | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2011-03-01 |
| 1376599282 | Quinn P Lafleur | Family Medicine | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2006-05-25 |
| 1851344964 | Urgent Care of Traverse City Pllc | Family Medicine | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2006-05-18 |
| 1508854035 | Christy Joy Alexander | Physician Assistant | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2005-10-10 |
| 1548258965 | Kirsten Michelle Crosby | Physician Assistant | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2005-10-10 |
| 1134124662 | Thomas C Nussdorfer | Family Medicine | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2005-06-21 |
| 1962408393 | Jan J Vlach | Family Medicine | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2005-06-21 |
| 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 | 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 |
|---|---|---|---|---|
| 1780177410 | Asclepius Borealis, Plc | Family Medicine | 42 N W Silver Lake Rd, Traverse City, MI 49685-8536 | 2018-06-07 |
| 1700260015 | Robert Jason | Family Medicine | 2728 Old Farm Ln, Traverse City, MI 49685-9066 | 2015-07-16 |
| 1033403779 | Donald James Aiken | Family Medicine | 16544 Wrightwood Terrace Dr, Traverse City, MI 49686-8342 | 2011-05-28 |
| 1447436480 | Carolyn C Moats, M.d. Plc | Family Medicine | 207 Circle Dr, Traverse City, MI 49684-2347 | 2008-01-19 |
| 1891994026 | April Elizabeth Kurkowski | Family Medicine | 10850 E Traverse Hwy Ste 4400, Traverse City, MI 49684-1320 | 2007-07-17 |
| 1104963115 | Debra Kay Graetz | Family Medicine | 647 E Eighth St, Traverse City, MI 49686-2682 | 2007-01-31 |
| 1184799199 | Jay Albert Klein | Family Medicine | 2950 Lafranier, Traverse City, MI 49686-4918 | 2006-11-22 |
| 1720157688 | Mark A Priest | Family Medicine | 945 E 8th St Ste B, Traverse City, MI 49686-2895 | 2006-11-07 |
| 1972680411 | Lynn Lapointe Swan | Family Medicine | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2006-11-01 |
| 1073608568 | Gary Stephen Ruoff | Family Medicine | 201 South Garfield Ave, Traverse City, MI 49686 | 2006-10-03 |
| 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.