Kellie L Mumford (NPI# 1346496759, PAC ID# 9234207952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1346496759 |
| PAC ID by PECOS | 9234207952 |
| Professional Enrollment ID | I20081008000486 |
| Full Name | Kellie L Mumford |
| Organization Legal Name | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL |
| Address |
829 N Ctr Ave Mhc Omh Medical Group Gaylord MI 49735-1595 |
| Phone Number | 9897317708 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8325942535 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230133 | OTSEGO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 829 N Ctr Ave, Mhc Omh Medical Group, Gaylord, MI 49735-1595 | 9897317708 | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL |
| 829 N Ctr Ave, 260 Mhc Omh Medical Group Urology, Gaylord, MI 49735-1597 | 9897316405 | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL |
| Organization Legal Name | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Fredrik Hanson | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Robert A Beyerlein | Certified Registered Nurse Anesthetist (crna) | Munson Healthcare Otsego Memorial Hospital | 825 N Ctr Ave, Gaylord, MI 49735-1592 |
| Michael Donald Katona | Nurse Practitioner | Munson Healthcare Otsego Memorial Hospital | 2572 N Us Hwy 131, Mhc Omh Medical Group Elmira, Elmira, MI 49730-8252 |
| Yelena V Isayenko | Family Medicine | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 260 Mhc Omh Medical Group Urology, Gaylord, MI 49735-1597 |
| Lisa A Stier | Nurse Practitioner | Munson Healthcare Otsego Memorial Hospital | 3040 Bourn St, Lewiston, MI 49756-8134 |
| Lori F Schiller | Nurse Practitioner | Munson Healthcare Otsego Memorial Hospital | 701 N Otsego Ave, Mhc Omh Cancer and Infusion Center, Gaylord, MI 49735-1558 |
| Ronald A Weisberger | Emergency Medicine | Munson Healthcare Otsego Memorial Hospital | 1996 Walden Dr, Mhc Omh Walk In Clinic, Gaylord, MI 49735-8241 |
| David J Kurn | Family Medicine | Munson Healthcare Otsego Memorial Hospital | 825 N Ctr Ave, Munson Healthcare Omh, Gaylord, MI 49735-1592 |
| Wendy A Frye | General Surgery | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 120 Mhc Omh Med. Group General Surgery, Gaylord, MI 49735-1598 |
| John D Moffat | General Surgery | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 120 Mhc Omh Med. Group General Surgery, Gaylord, MI 49735-1598 |
| Street Address |
829 N CTR AVE MHC OMH MEDICAL GROUP |
| City | GAYLORD |
| State | MI |
| Zip | 49735-1595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yelena V Isayenko | Family Medicine | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 260 Mhc Omh Medical Group Urology, Gaylord, MI 49735-1597 |
| Wendy A Frye | General Surgery | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 120 Mhc Omh Med. Group General Surgery, Gaylord, MI 49735-1598 |
| John D Moffat | General Surgery | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 120 Mhc Omh Med. Group General Surgery, Gaylord, MI 49735-1598 |
| Steven J Wisniewski | Internal Medicine | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, Mhc Omh Medical Group, Gaylord, MI 49735-1595 |
| Brittanie A Hamlin | Physician Assistant | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 260 Mhc Omh Medical Group Urology, Gaylord, MI 49735-1597 |
| Changxin Li | Internal Medicine | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 140 Mhc Omh Medical Group Internal Med., Gaylord, MI 49735-1598 |
| Rose Mary Noetzel Spellman | Nurse Practitioner | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 260 Mhc Omh Medical Group Urology, Gaylord, MI 49735-1597 |
| Kathleen M Pawlanta | Nurse Practitioner | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 260 Mhc Omh Medical Group Urology, Gaylord, MI 49735-1597 |
| John M Lawrence | Physician Assistant | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, 260 Mhc Omh Medical Group Urology, Gaylord, MI 49735-1597 |
| Jessica Alvinia Oakley | Physician Assistant | Munson Healthcare Otsego Memorial Hospital | 829 N Ctr Ave, Mhc Omh Medical Group, Gaylord, MI 49735-1595 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Fredrik Hanson | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Kyle Robert Randall | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Louis S Habryl | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Robert L Halter | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Kristine E Bobish | Internal Medicine | 101 E Mitchell St, Gaylord, MI 49735-1460 | |
| Kevin M Markham | General Surgery | Petoskey Surgeons, P.C. | 860 N Ctr Ave, Gaylord, MI 49735-1510 |
| Lindsay K Bauman | Qualified Audiologist | Great Lakes Ear, Nose and Throat Specialists PC | 860 N Ctr Ave, Gaylord, MI 49735-1510 |
| Kevin Lawrence Gietzen | Otolaryngology | Great Lakes Ear, Nose and Throat Specialists PC | 860 N Ctr Ave, Gaylord, MI 49735-1510 |
| Ted Alan Arkfeld | Chiropractic | 860 N Ctr Ave, Gaylord, MI 49735-1510 | |
| John P Jones | Psychologist, Clinical | 606 N Court Ave, Gaylord, MI 49735-1516 | |
| Find all physicians in zip 49735 | |||
| City | GAYLORD |
| Zip Code | 49735 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GAYLORD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kellie L Mumford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.