MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI# 1609477488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609477488 |
Entity Type | Organization |
Organization Name | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
Practice Address |
11695 Park Ave Suite A Charlevoix MI 49720 |
Practice Telephone | 2314872270 |
Practice Fax Number | 2314876168 |
Mailing Telephone | 2314872270 |
Mailing Fax Number | 2314876168 |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |
Authorized Official Name | MARK HEPLER (CFO) |
Authorized Official Telephone | 2319356521 |
Is Organization Subpart | Y |
Parent Organization Name | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Munson Healthcare Charlevoix Urology | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
405 N Division Rd Ste 2, Petoskey, MI 497709046 | 2314872270 | 2314876168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
1629154307 | Munson Healthcare Charlevoix Hospital | Obstetrics & Gynecology | 14651 W. Upright St, Charlevoix, MI 49720-1226 | 2006-10-27 |
1326124058 | Munson Healthcare Charlevoix Hospital | Family Medicine | 14709 W. Upright Street, Charlevoix, MI 49720-1949 | 2006-10-27 |
1346260692 | Munson Healthcare Charlevoix Hospital | General Acute Care Hospital | 14700 Lake Shore Drive, Charlevoix, MI 49720-1939 | 2006-07-20 |
1558904623 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2019-10-22 |
1730722810 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2019-10-22 |
1013550151 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 100 Main Street, East Jordan, MI 49727 | 2019-10-22 |
1912384843 | Munson Healthcare Charlevoix Hospital | General Practice | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2015-04-29 |
1255779484 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 223 N Park St, Boyne City, MI 49712-1220 | 2013-06-10 |
1992074777 | Munson Healthcare Charlevoix Hospital | Pediatrics | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2011-12-22 |
Street Address |
11695 PARK AVE SUITE A |
City | CHARLEVOIX |
State | MI |
Zip Code | 49720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215587498 | Amanda Evans | Dietitian, Registered | 09210 North Pointe Woods Drive, Charlevoix, MI 49720 | 2019-09-18 |
1508229980 | Charlevoix Physicians Clinic | Specialist | 14709 W. Upright, Charlevoix, MI 49720 | 2016-04-01 |
1881014348 | Tracy Skinner | Social Worker | 220 W. Garfield Ave, Charlevoix, MI 49720 | 2014-04-23 |
1720414097 | Jennifer Jean Swenor | Occupational Therapist | 10270 Burnett Rd, Charlevoix, MI 49720 | 2013-09-18 |
1801171863 | Leslie Lukins | Pharmacist | 1500 Bridge Street, Charlevoix, MI 49720 | 2011-10-20 |
1164670949 | Northwest Michigan Community Health Agency | Hospice Care, Community Based | 220 W Garfield Street, Charlevoix, MI 49720 | 2008-09-04 |
1275722191 | Robert Dennis Cook | Pharmacist | 301 Bridge Street, Charlevoix, MI 49720 | 2007-10-16 |
1629191648 | Susan Mary Killam | Nurse Practitioner | Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 | 2007-04-06 |
1851410153 | Joelle M Beaudoin | Specialist/Technologist | 06510 M-66 N, Charlevoix, MI 49720 | 2007-03-28 |
1326173659 | Porter & Associates Dds PC | Dentist | 201 Bridge Park Drive, Charlevoix, MI 49720 | 2007-02-23 |
Find all providers in zip 49720 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740485739 | Jerome Everett Seymour | Urology | 7603 Indian Trl, Charlevoix, MI 49720-9384 | 2007-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
1669771507 | Mazen Abdelhady | Urology | 6001 W Outer Dr Ste 350, Detroit, MI 48235-2686 | 2011-03-17 |
Find all providers with the same taxonomy |
City | CHARLEVOIX |
Zip Code | 49720 |
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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.