MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1154112902
Internal Medicine - Nephrology in Petoskey, MI

Q: What is Munson Healthcare Otsego Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since May 13, 2025

1619 ANDERSON RD, PETOSKEY, MI 49770(231) 417-6000(231) 417-6005 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2026, May 13, 2025 (2 updates tracked since 2025).

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About Munson Healthcare Otsego Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI 1154112902), doing business as Mhc Kidney And Hypertension Specialists- Petoskey, is a healthcare organization registered as a nephrology in Petoskey, Michigan and active in the NPI registry since May 2025. The organization lists Michael Frye, Pres Ambulatory & Bus. Development, as its authorized official.

NPPES Registry Identity

NPI1154112902

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Location Address1619 ANDERSON RDPetoskey, MI 49770-9256

Mailing Address1105 Sixth StTraverse City, MI 49684-2386

Phone(231) 417-6000

Fax(231) 417-6005

Organization SubpartNo

Authorized OfficialMichael FryePres Ambulatory & Bus. Development · (704) 458-8010

Enumeration DateMay 13, 2025

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1154112902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1619 ANDERSON RD, Petoskey, MI 49770

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Other Names 1

Doing Business AsMhc Kidney And Hypertension Specialists- Petoskey

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Clinic/Center (Rural Health)