MUNSON MEDICAL GROUP (NPI# 1114472370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114472370 |
| Entity Type | Organization |
| Organization Name | MUNSON MEDICAL GROUP |
| Other Organization Name | MUNSON NEPHROLOGY CONSULTANTS |
| Practice Address |
4062 W Royal Dr Traverse City MI 49684-8965 |
| Mailing Address |
Po Box 771959 Detroit MI 48277-1959 |
| Practice Telephone | 2319350338 |
| Practice Fax Number | 2319353421 |
| Mailing Telephone | 2319356080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | MARK HEPLER (CFO) |
| Authorized Official Telephone | 2319356702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Munson Nephrology Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859558 | Munson Medical Group | Nurse Practitioner | 3074 N Us 31 S, Traverse City, MI 49684-4533 | 2020-10-20 |
| 1558919456 | Munson Medical Group | Internal Medicine | 224 Circle Dr, Traverse City, MI 49684-2700 | 2019-09-04 |
| 1861047060 | Munson Medical Group | Family Medicine | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 | 2019-08-05 |
| 1821398322 | Munson Medical Group | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2010-10-30 |
| Street Address |
4062 W ROYAL DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447366133 | Stanley John Szwalek Jr. | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2006-08-22 |
| 1346733268 | Holly Hinds | Nurse Practitioner | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2018-06-14 |
| 1083035521 | Molly Kidner | Nurse Practitioner | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2013-12-31 |
| 1225310493 | Meghan Irene Damman | Dietitian, Registered | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2011-09-14 |
| 1427373232 | John William Stanifer | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2010-04-05 |
| 1346414406 | Stanley J Szwalek Jr Md PC | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2008-04-18 |
| 1679755680 | Munson Medical Center | Nurse Practitioner | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2007-11-30 |
| 1134313190 | Patricia Gourlay | Dietitian, Registered | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2007-09-04 |
| 1447443635 | Kathy J. Bellemore | Nurse Practitioner | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2007-08-22 |
| 1154489607 | Robert E Lefebvre | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2006-12-05 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447366133 | Stanley John Szwalek Jr. | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2006-08-22 |
| 1346414406 | Stanley J Szwalek Jr Md PC | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2008-04-18 |
| 1154489607 | Robert E Lefebvre | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2006-12-05 |
| 1245314541 | Munson Medical Center | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2006-10-24 |
| 1912096629 | Ahmet Sevimli | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440439 | Nephrocare Dialysis, LLC | Internal Medicine | Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 | 2020-02-25 |
| 1740823459 | Critical Care Nephrology, PC | Internal Medicine | 333 E Parent Ave, Royal Oak, MI 48067-3748 | 2019-10-25 |
| 1568948537 | Amanda Thelen | Internal Medicine | 405 W Greenlawn Ave Ste 230, Lansing, MI 48910-0812 | 2018-07-12 |
| 1023507357 | James Francis Murphy | Internal Medicine | Hope Medical Clinic 518 Harriet St., Ypsilanti, MI 48197-0311 | 2018-05-02 |
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1982129805 | Abhay Mishra | Internal Medicine | 4160 John R St Ste 908, Detroit, MI 48201-2017 | 2017-08-11 |
| 1326586959 | Alhaji Consultant Pllc | Internal Medicine | 29201 Chateau Ct, Farmington Hills, MI 48334-4112 | 2017-02-02 |
| 1033669445 | T-beyene Hypertension & Kidney Care Plc | Internal Medicine | 4160 John R Ste 1011, Harper Professional Building, Detroit, MI 48201 | 2016-10-10 |
| 1285085860 | Omer Yousif | Internal Medicine | 29829 Telegraph Rd Ste 202, Southfield, MI 48034-7656 | 2016-06-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| 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.