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

NPI Status: Active since May 13, 2025

Contact Information

1619 ANDERSON RD
PETOSKEY, MI
ZIP 49770
Phone: (231) 417-6000
Fax: (231) 417-6005

Get Directions Write a Review

  • Organization
  • Internal Medicine
  • Nephrology

About MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Munson Healthcare Otsego Memorial Hospital, an internist established in Petoskey, Michigan operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1154112902 assigned on May 2025. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Bonnie Jean Kruszka (Coo Munson Physician Network)

NPI
1154112902
Provider Name
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
1619 ANDERSON RD PETOSKEY, MI 49770
Location Phone
(231) 417-6000
Location Fax
(231) 417-6005
Mailing Address
1105 SIXTH ST TRAVERSE CITY, MI 49684
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2025
Last Update Date
05-13-2025
Code Navigator

An internist like Munson Healthcare Otsego Memorial Hospital is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BONNIE JEAN KRUSZKA

Authorized Official Title
COO MUNSON PHYSICIAN NETWORK
Authorized Official Phone
(231) 935-4995

Reviews for MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154112902
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110421490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 2 + 1 + 4 + 9 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1154112902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Family Medicine

1619 ANDERSON RD
PETOSKEY, MI
ZIP 49770

(231) 417-6000

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Clinic/Center

(Rural Health)

1619 ANDERSON RD
PETOSKEY, MI
ZIP 49770

(231) 417-6000

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Internal Medicine

(Cardiovascular Disease)

1619 ANDERSON RD
PETOSKEY, MI
ZIP 49770

(231) 417-6000

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Plastic Surgery

1619 ANDERSON RD
PETOSKEY, MI
ZIP 49770

(231) 417-6000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154112902, enumerated as an "organization" on May 13, 2025.

The provider is located at 1619 ANDERSON RD PETOSKEY, MI 49770 and the phone number is (231) 417-6000.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.