MUNSON HEALTHCARE GRAYLING (NPI# 1508492133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508492133 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE GRAYLING |
| Practice Address |
1200 W North Down River Rd Ste C Grayling MI 49738-8024 |
| Practice Telephone | 2319356455 |
| Practice Fax Number | 2319356646 |
| Mailing Telephone | 2319356455 |
| Mailing Fax Number | 2319356646 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | MARK HEPLER (CFO) |
| Authorized Official Telephone | 2319356512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Milltown Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788639 | Munson Healthcare Grayling | Family Medicine | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-09 |
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1093349698 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2020-02-24 |
| 1235789751 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-17 |
| 1245892546 | Munson Healthcare Grayling | Audiologist | 1250 E Michigan Ave Ste C, Grayling, MI 49738-7074 | 2019-07-08 |
| 1598131617 | Munson Healthcare Grayling | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2015-08-12 |
| 1952787129 | Munson Healthcare Grayling | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-08-10 |
| 1689050858 | Munson Healthcare Grayling | Psychologist | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2015-08-10 |
| 1578961660 | Munson Healthcare Grayling | Orthopaedic Surgery | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2014-12-05 |
| 1710383351 | Munson Healthcare Grayling | Clinic/Center | 234 Lake St, Roscommon, MI 48653-9203 | 2014-11-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MUNSON HEALTHCARE GRAYLING HOSPITAL | 1100 E Michigan Ave, Grayling, MI 49738-1312 |
| Street Address |
1200 W NORTH DOWN RIVER RD STE C |
| City | GRAYLING |
| State | MI |
| Zip Code | 49738-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225054943 | Ferdinand J. Korneli | Internal Medicine | 1200 W North Down River Rd Ste C, Grayling, MI 49738-8024 | 2006-07-14 |
| 1710337886 | Meghana Tipparthy | Internal Medicine | 1200 W North Down River Rd Ste C, Grayling, MI 49738-8024 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1922543073 | Autumn Book | Assistant Behavior Analyst | 6720 Tomahawk Trl, Grayling, MI 49738 | 2016-12-28 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1629484290 | Northern Michigan Endocrine Pllc | Clinic/Center | 1200 West North Down River Rd, Suite B, Grayling, MI 49738 | 2014-07-03 |
| 1033533427 | Krista Mohr | Nurse Anesthetist, Certified Registered | 1100 East Michigan Ave, Mercy Hospital- Grayling, Grayling, MI 49738 | 2014-02-06 |
| 1295034296 | Tomlin Capps Rosi | Surgery | 1250 E. Michigan Ave, Suite D, Grayling, MI 49738 | 2011-03-17 |
| 1265754667 | Pamela Birtcher Fisher | Counselor | 204 Meadows Drive, Grayling, MI 49738 | 2010-02-26 |
| 1942478797 | Marilyn L Rosi | Nurse Practitioner | 1010 W. North Down River Road, Grayling, MI 49738 | 2008-02-14 |
| 1558557454 | Jeffrey K Chaulk Md PC | Optometrist | 1200 N Down River Rd, Grayling, MI 49738 | 2007-09-25 |
| 1528288784 | G.r.a.c.e. Center | Counselor | 6459 West M-72, Grayling, MI 49738 | 2007-04-27 |
| Find all providers in zip 49738 | ||||
| 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 |
|---|---|---|---|---|
| 1659431658 | Nestor Mendoza Guno | Family Medicine | 114 E Michigan Ave, Grayling, MI 49738-1741 | 2006-12-11 |
| 1689697930 | Ausable Medical Associates, PC | Family Medicine | 81 S. I-75 Business Loop, Grayling, MI 49738-0393 | 2006-07-26 |
| 1780670455 | Grayling Family Practice Clinic | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-27 |
| 1184062465 | John L Davis Jr. | Family Medicine | 1100 E Michigan Ave, Grayling, MI 49738-7823 | 2013-06-10 |
| 1609028992 | Joanna Lynne Nigrelli | Family Medicine | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2008-10-17 |
| 1932125655 | Vincent E. Schultz | Family Medicine | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2006-07-14 |
| 1952398638 | William H Mcnamara | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-29 |
| 1366439044 | Gregg B Hanert | Family Medicine | 1250 E Michigan Ave, Grayling, MI 49738 | 2005-09-29 |
| 1891782421 | Thad M Jackson | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-29 |
| 1821085507 | Charles L Gosling | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-29 |
| Find all providers in GRAYLING | ||||
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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.