MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI# 1821064643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821064643 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL |
| Other Organization Name | OMH MEDICAL GROUP |
| Practice Address |
829 N Center Ave Gaylord MI 49735 |
| Mailing Address |
825 N Center Ave Gaylord MI 49735-1592 |
| Practice Telephone | 9897317708 |
| Practice Fax Number | 9897317929 |
| Mailing Telephone | 9897317920 |
| Mailing Fax Number | 9897317776 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | MR. THOMAS LEMON (CEO) |
| Authorized Official Telephone | 9897312230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Munson Healthcare OMH Medical Group-Gaylord | Doing Business As Name - Organization |
| OMH MEDICAL GROUP | Doing Business As Name - 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 |
829 N CENTER AVE |
| City | GAYLORD |
| State | MI |
| Zip Code | 49735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754715 | Luis Raul Collazo | Pediatrics | 829 N Center Ave, Suite 130, Gaylord, MI 49735-1595 | 2005-10-20 |
| 1174043889 | Michael D Katona | Nurse Practitioner | 829 N Center Ave, Gaylord, MI 49735-1595 | 2017-06-23 |
| 1114303575 | Brittanie Hamlin | Physician Assistant | 829 N Center Ave, Gaylord, MI 49735-1595 | 2015-08-07 |
| 1326443722 | Coleman Gulick | Nurse Practitioner | 829 N Center Ave, Gaylord, MI 49735-1595 | 2014-10-28 |
| 1720417694 | Kristy J. Alexander | Nurse Practitioner | 829 N Center Ave, Suite 200, Gaylord, MI 49735-1595 | 2013-11-01 |
| 1235401712 | John Matthew Lawrence | Physician Assistant | 829 N Center Ave, Suite 210, Gaylord, MI 49735-1595 | 2012-01-31 |
| 1043505399 | Yelena V Isayenko | Family Medicine | 829 N Center Ave, Suite 210, Gaylord, MI 49735-1595 | 2011-06-15 |
| 1598073801 | Shawn M Bahleda | Physician Assistant | 829 N Center Ave, Gaylord, MI 49735-1595 | 2010-09-21 |
| 1942511126 | Amanda Lee Williams | Pediatrics | 829 N Center Ave, Suite 130, Gaylord, MI 49735-1595 | 2010-06-23 |
| 1639301724 | Ronald Frank Applebey | Physician Assistant | 829 N Center Ave, Suite 210, Gaylord, MI 49735-1595 | 2009-08-22 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645851 | Donald P. Cousineau Do PC | General Practice | 994 N Center Ave, Gaylord, MI 49735-9375 | 2005-08-09 |
| 1841485133 | Donald Paul Cousineau | General Practice | 994 N Center Ave, Gaylord, MI 49735-9375 | 2007-09-10 |
| 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 |
| 1487791695 | Munson Healthcare Otsego Memorial Hospital | General Practice | 1996 Walden Dr, Gaylord, MI 49735 | 2007-01-30 |
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| Find all providers with the same taxonomy | ||||
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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.