MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI# 1376568865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376568865 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL |
| Other Organization Name | OTSEGO MEMORIAL HOSPITAL CRNA |
| Practice Address |
825 N Center Ave Gaylord MI 49735 |
| Mailing Address |
825 N Center Ave Gaylord MI 49735-1592 |
| Practice Telephone | 9897312100 |
| Practice Fax Number | 9897312205 |
| Mailing Telephone | 9897312100 |
| Mailing Fax Number | 9897312205 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | THOMAS LEMON (CEO) |
| Authorized Official Telephone | 9897312100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BS | 430F910100 | 01 |
| Other Name | Type Code |
|---|---|
| Otsego Memorial Hospital CRNA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028972 | Munson Healthcare Otsego Memorial Hospital | General Acute Care Hospital | 825 N Center Ave, Gaylord, MI 49735 | 2005-07-22 |
| 1992146807 | Munson Healthcare Otsego Memorial Hospital | General Practice | 2572 N Us Highway 131, Elmira, MI 49730 | 2013-07-09 |
| 1265871339 | Munson Healthcare Otsego Memorial Hospital | General Practice | 2572 N Us Highway 131, Elmira, MI 49730 | 2013-06-21 |
| 1639420557 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3860 S Straits Hwy, Indian River, MI 49749 | 2012-10-02 |
| 1053661231 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3860 S Straits Hwy, Indian River, MI 49749 | 2012-09-14 |
| 1285867838 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2009-08-31 |
| 1538328364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2008-06-06 |
| 1164628426 | Munson Healthcare Otsego Memorial Hospital | General Practice | 829 N Center Ave, Gaylord, MI 49735 | 2007-06-25 |
| 1093911364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 1996 Walden Dr, Gaylord, MI 49735 | 2007-06-25 |
| 1447468442 | Munson Healthcare Otsego Memorial Hospital | Physician Assistant | 825 N Center Ave, Gaylord, MI 49735 | 2007-05-21 |
| Street Address |
825 N CENTER AVE |
| City | GAYLORD |
| State | MI |
| Zip Code | 49735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028972 | Munson Healthcare Otsego Memorial Hospital | General Acute Care Hospital | 825 N Center Ave, Gaylord, MI 49735 | 2005-07-22 |
| 1932721156 | Michelle Reidt | Speech-Language Pathologist | 825 N Center Ave, Gaylord, MI 49735-1592 | 2020-05-11 |
| 1902428121 | Steven Kolb | Occupational Therapist | 825 N Center Ave, Gaylord, MI 49735-1592 | 2020-05-11 |
| 1033691704 | Jonathan Paul Groszek | Occupational Therapist | 825 N Center Ave, Gaylord, MI 49735-1560 | 2018-08-30 |
| 1851873525 | Suzanne Cecile Mueller | Occupational Therapist | 825 N Center Ave, Gaylord, MI 49735-1560 | 2018-08-30 |
| 1467933382 | Stefni Ann Tallent | Occupational Therapist | 825 N Center Ave, Gaylord, MI 49735-1592 | 2018-08-28 |
| 1548741473 | Hannah Stewart | Occupational Therapist | 825 N Center Ave, Gaylord, MI 49735-1592 | 2018-08-28 |
| 1760963664 | Christopher Alan Hope | Occupational Therapist | 825 N Center Ave, Gaylord, MI 49735-1560 | 2018-08-28 |
| 1760985402 | Robert Priestap Sr. | Physical Therapist | 825 N Center Ave, Gaylord, MI 49735-1592 | 2018-03-08 |
| 1548760291 | Kristin Hoeh | Physical Therapist | 825 N Center Ave, Gaylord, MI 49735-1592 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1922584986 | Patricia Dovalina | Behavior Technician | 2285 Michaywe Dr, Otsego Lake, MI 49735 | 2018-07-12 |
| 1265944581 | James Hulbert | Social Worker | 407 W Main Street, Gaylord, MI 49735 | 2017-10-26 |
| 1548792625 | Somer Lawes | Behavior Technician | 2443 Castlewood Dr, Gaylord, MI 49735 | 2017-03-29 |
| 1922554161 | Mark David Mcpherson | Counselor | 2136 West M-32, Gaylord, MI 49735 | 2016-08-28 |
| 1689063034 | Liza Brandt | Behavioral Analyst | 6748 Colonial Ct, Gaylord, MI 49735 | 2015-01-22 |
| 1942597224 | Visions for Your Community Care Hhc | Home Health | 2365 N Perch Lake Dr, Gaylord, MI 49735 | 2011-07-07 |
| 1073778304 | Julie Lynn Vandusen | Community Health Worker | 5512 Clubhouse Trail, Gaylord, MI 49735 | 2008-07-25 |
| 1073708798 | Alpine Chiropractic, PC | Chiropractor | 529 S. Wisconsin Ave, Gaylord, MI 49735 | 2007-09-06 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| Find all providers in zip 49735 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487601795 | Scott Jude Chandler | Nurse Anesthetist, Certified Registered | 565 Crestwood Dr, Gaylord, MI 49735-9133 | 2006-05-30 |
| 1588053987 | Melissa Ann Murray | Nurse Anesthetist, Certified Registered | 825 N Center Ave, Gaylord, MI 49735-1592 | 2015-01-22 |
| 1982092565 | Curtis J. Devries | Nurse Anesthetist, Certified Registered | 825 N Center Ave, Gaylord, MI 49735-1592 | 2015-01-05 |
| 1487753281 | Dawn Michelle Jones | Nurse Anesthetist, Certified Registered | 825 N Center Ave, Gaylord, MI 49735-1592 | 2006-09-21 |
| 1225137953 | Jeffery E Sloniker | Nurse Anesthetist, Certified Registered | 825 N Center Ave, Gaylord, MI 49735-1592 | 2006-09-21 |
| 1033218748 | Chris Simmon | Nurse Anesthetist, Certified Registered | 825 N Center Ave, Gaylord, MI 49735-1592 | 2006-09-21 |
| 1588658264 | Susan E. Hughes | Nurse Anesthetist, Certified Registered | 825 N Center Ave, Gaylord, MI 49735-1592 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1245850957 | Black River Anesthesia Staffing LLC | Nurse Anesthetist, Certified Registered | 7245 Baseline Rd, South Haven, MI 49090-9176 | 2020-04-22 |
| 1669008017 | Kalin Elizabeth Wade | Nurse Anesthetist, Certified Registered | 4485 Kenneth Dr Apt C207, Okemos, MI 48864-1900 | 2020-03-18 |
| 1215568340 | Complete Ketamine Inc | Nurse Anesthetist, Certified Registered | 98 Winchester St, Monroe, MI 48161-1957 | 2020-01-28 |
| 1730729740 | Pride Mudzwova | Nurse Anesthetist, Certified Registered | 57693 Dakota Dr, New Hudson, MI 48165-9336 | 2020-01-08 |
| 1982249041 | Leif Elias | Nurse Anesthetist, Certified Registered | 3443 Oak Dr, Ann Arbor, MI 48105-9798 | 2019-11-13 |
| 1619512779 | Yvonne Marie Bridgeford | Nurse Anesthetist, Certified Registered | 2113 Mason Rd, Howell, MI 48843-8903 | 2019-11-13 |
| 1184269243 | Jaclyn Rochefort | Nurse Anesthetist, Certified Registered | 5381 Frovan Pl, Saginaw, MI 48638-5573 | 2019-11-13 |
| 1932744091 | Sean S Vanderwaal | Nurse Anesthetist, Certified Registered | 1420 Perry Rd Apt 1-8, Grand Blanc, MI 48439-1727 | 2019-11-13 |
| 1467093153 | Apollo Medical Group of Traverse City Pllc | Nurse Anesthetist, Certified Registered | 3663 N Country Dr, Traverse City, MI 49684-4587 | 2019-10-03 |
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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.