Overview
Munson Medical Center is a Family Medicine Physician (organization) practicing in Traverse City, Michigan. The National Provider Identifier (NPI) is #1003415118, which was assigned on October 20, 2020, and the registration record was last updated on April 1, 2024. The practitioner's main practice location is at 3074 N Us 31 S, Traverse City, MI 49684-4533; the contact telephone number is 2319291234, and the fax number is 2319350984. The primary taxonomy of Munson Medical Center is Family Medicine Physician (207Q00000X). The authorized official for Munson Medical Center is Kathleen Laraia (Vp Ancillary Services).
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.
Provider Information
| NPI | 1003415118 |
| Entity Type | Organization |
| Organization Name | MUNSON MEDICAL CENTER |
| Provider Name | MUNSON MEDICAL CENTER |
| Other Organization Name | MUNSON WALK IN CLINIC (Doing Business As Name) |
| Other Name | MUNSON WALK IN CLINIC |
| Practice Address | 3074 N Us 31 S Traverse City MI 49684-4533 |
| Practice Telephone | 2319291234 |
| Practice Fax Number | 2319350984 |
| Mailing Address | 3074 N Us 31 S Traverse City MI 49684-4533 |
| Mailing Telephone | 2319291234 |
| Mailing Fax Number | 2319350984 |
| Certification Date | 2024-04-01 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2024-04-01 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | MUNSON MEDICAL CENTER |
Authorized Official Information
| Official Name | KATHLEEN LARAIA |
| Official Title | VP ANCILLARY SERVICES |
| Telephone | 2313928410 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 363A00000X | Physician Assistant | 193200000X MULTI-SPECIALTY GROUP |
Other Provider Names
| Other Organization Name | Type |
|---|---|
| Munson Walk In Clinic | Doing Business As Name |
Providers with the same name
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Munson Medical Center · Munson Healthcare Neurology - Traverse City | 3922 Cedar Run Rd, Traverse City, MI 49684-9687 | Neurology Physician | 2020-10-08 |
| 5085 Anna Dr Ste A, Traverse City, MI 49684-7475 | Plastic Surgery Physician | 2021-12-01 | |
| Munson Medical Center | 217 S Madison St, Traverse City, MI 49684-2321 | Hematology & Oncology Physician | 2021-07-28 |
| 5087 N Royal Dr Ste B, Traverse City, MI 49684-6987 | Pulmonary Disease Physician | 2020-07-07 | |
| Munson Medical Center | 5087 N Royal Dr Ste B, Traverse City, MI 49684-6987 | Critical Care Medicine (Internal Medicine) Physician | 2021-04-01 |
| Munson Medical Center · Munson Healthcare Specialty Pharmacy | Foster Family Community Health Center, 550 Munson Ave Unit 4, Traverse City, MI 49686 | Community/Retail Pharmacy | 2023-03-06 |
| Munson Medical Center | 1105 Sixth St, Traverse City, MI 49684-2349 | Pain Medicine (Anesthesiology) Physician | 2017-04-14 |
| Munson Medical Center | 2513 Momentum Pl, Chicago, IL 60689-5325 | General Acute Care Hospital | 2014-08-14 |
| Munson Medical Center | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | Emergency Medicine Physician | 2020-01-13 |
| Munson Medical Center | 1105 Sixth St, Traverse City, MI 49684-2345 | Orthopaedic Trauma Physician | 2020-11-13 |
| Find all providers with the same name | |||
Taxonomy Information
Primary Taxonomy
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: 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. |
Other Taxonomy
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Healing Hands Mobile Physician Group LLC | 200 W Martin Luther King Blvd, Chattanooga, TN 37402-2560 | Family Medicine Physician | 2024-04-05 |
| Journey Medical Group PLLC | 8313 Southwest Fwy Ste 105, Houston, TX 77074-1612 | Family Medicine Physician | 2024-04-05 |
| 5114 Ne County Road 660, Arcadia, FL 34266-5792 | Family Medicine Physician | 2024-04-04 | |
| Loveshare Healthcare Services | 9854 Liberty Rd Ste D, Randallstown, MD 21133-2058 | Family Medicine Physician | 2024-04-05 |
| Insight Family Health PC | 877 W Fremont Ave Ste K1, Sunnyvale, CA 94087-2332 | Family Medicine Physician | 2024-04-05 |
| John J Bodkin, II, Md, LLC | 5667 Creekwood Ct East, East Amherst, NY 14051 | Family Medicine Physician | 2024-04-04 |
| Jane Songhi Song | 13001 E 17th Pl, Aurora, CO 80045-2570 | Family Medicine Physician | 2024-04-05 |
| De Queen Family Medical Associates PLLC | 500 E Collin Raye Dr, De Queen, AR 71832-8048 | Family Medicine Physician | 2024-04-04 |
| You First Family Care PLLC | 5605 Wills Creek Ln, Fort Worth, TX 76179-7627 | Family Medicine Physician | 2024-04-05 |
| Bryah Arleise Davis | 209 Fawn Dr, Salisbury, MD 21804-4611 | Family Medicine Physician | 2024-04-04 |
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Location Information
| Street Address | 3074 N US 31 S |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4533 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Munson Medical Group | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Family Medicine Physician | 2020-10-20 |
| Andrew P Bone | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Family Medicine Physician | 2006-07-13 |
| Urgent Care of Traverse City PLLC · Walk In Clinic of Traverse City | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Family Medicine Physician | 2006-05-18 |
| Quinn P Lafleur | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Family Medicine Physician | 2006-05-25 |
| Derek E Pyne | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Family Medicine Physician | 2018-05-30 |
| Mary Kathryn Douglas | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Medical Physician Assistant | 2005-08-09 |
| Partners In Health of Traverse City | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Family Medicine Physician | 2011-03-01 |
| Jan J Vlach | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Family Medicine Physician | 2005-06-21 |
| Thomas C Nussdorfer | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Family Medicine Physician | 2005-06-21 |
| Christine E Walkowiak · Christine E Milliken | 3074 N Us 31 S, Traverse City, MI 49684-4533 | Medical Physician Assistant | 2016-02-16 |
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Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Perry Ray Tiernan | 3074 Us 31 S, Traverse City, MI 49684-4533 | Medical Physician Assistant | 2005-10-04 |
| Chantal Hopper | 3074 Us 31 S, Traverse City, MI 49684-4533 | Family Nurse Practitioner | 2023-02-07 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Christopher Michael Reed | 527 W Front St, Traverse City, MI 49684 | Optometrist | 2018-05-08 |
| Jamie Wagner Barnwell | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | Student in an Organized Health Care Education/Training Program | 2021-05-20 |
| Constance Baab, Phd, Lmsw, PLLC | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | Clinical Social Worker | 2018-09-01 |
| People In Bloom Plc | 525 S Union St Ste B, Traverse City, MI 49684 | Mental Health Counselor | 2016-07-28 |
| Shannon Marie Rossman | 420 Brook Street, Traverse City, MI 49684 | Social Worker | 2022-07-12 |
| Spectrum Health Hospitals | 217 S Madison, Traverse City, MI 49684 | Pediatric Hematology & Oncology Physician | 2016-03-21 |
| Daniel P Jarboe | 263 W Grandview Pkwy, Traverse City, MI 49684 | Chiropractor | 2016-08-08 |
| Kiara Schmittling | 3337 South Airport Rd W, Suite 3, Traverse City, MI 49684 | Massage Therapist | 2015-12-30 |
| Alesha Kay Flynn | 3337 W South Airport Rd, Suite 3, Traverse City, MI 49684 | Massage Therapist | 2015-06-23 |
| Allison Nemetz Schajter | 4110 Copper Ridge Dr., Ste 202, Traverse City, MI 49684 | Occupational Therapist | 2015-07-08 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Munson Medical Group · Munson Healthcare Foster Family Primary Care | 550 Munson Ave, Traverse City, MI 49686-3580 | Family Medicine Physician | 2023-08-16 |
| Munson Healthcare Manistee Hospital · West Shore Medical Center | 1391 E Parkdale Ave, Manistee, MI 49660-9352 | Family Medicine Physician | 2006-10-25 |
| Munson Healthcare Grayling · Munson Healthcare Mio Primary Care | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | Family Medicine Physician | 2019-09-09 |
| Munson Healthcare Otsego Memorial Hospital · Munson Healthcare Elmira Specialty Clinics | 2572 N Us Highway 131, Elmira, MI 49730-8252 | Multi-Specialty Clinic/Center | 2022-11-22 |
| Munson Medical Group · Munson Nephrology Consultants | 4062 W Royal Dr, Traverse City, MI 49684-8965 | Nephrology Physician | 2016-08-17 |
| Munson Healthcare Grayling · Munson Healthcare Crawford Continuing Care Center | 1100 E Michigan Ave, Grayling, MI 49738-1312 | Skilled Nursing Facility | 2014-11-06 |
| Munson Services Inc · Munson Community Health Center Pharmacy | 550 Munson Ave Ste G100, Stuite G 100, Traverse City, MI 49686-3580 | Durable Medical Equipment & Medical Supplies | 2005-10-12 |
| Munson Healthcare Manistee · West Shore Medical Center Physician Services | 1293 E Parkdale Ave, Manistee, MI 49660-8904 | Family Medicine Physician | 2011-05-12 |
| Munson Healthcare Otsego Memorial Hospital · Munson Healthcare Omh Medical Group-Indian River | 3860 S Straits Hwy, Indian River, MI 49749 | General Practice Physician | 2012-09-14 |
| Munson Healthcare Otsego Memorial Hospital · Munson Healthcare Omh Medical Group-Elmira | 2572 N Us Highway 131, Elmira, MI 49730 | General Practice Physician | 2013-06-21 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
