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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1194646919
Obstetrics & Gynecology in Cadillac, MI

Active since July 25, 2026
7985 S MACKINAW TRL, CADILLAC, MI 49601(231) 876-6200(231) 876-6299 Get Directions Write a Review

NPPES record added: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1194646919) is a healthcare organization registered as an obstetrics & gynecology in Cadillac, Michigan and active in the NPI registry since July 2026. The organization lists Kirsten Bethany Korth-white, Pres/ceo South Region, as its authorized official.

NPPES Registry Identity

NPI1194646919
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address7985 S MACKINAW TRLCadillac, MI 49601-8111
Mailing Address7985 S Mackinaw TrlCadillac, MI 49601-8111 · (231) 876-6200 · Fax (231) 876-6299
Phone(231) 876-6200
Fax(231) 876-6299
Organization SubpartNo
Authorized OfficialKirsten Bethany Korth-whitePres/ceo South Region · (989) 348-0720
Enumeration DateJuly 25, 2026
NPPES CertifiedJuly 25, 2026
✔ NPI 1194646919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
7985 S MACKINAW TRL, Cadillac, MI 49601
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Other Names 1

Other NameCadillac Primary Care & Obgyn

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

DR. JEFFREY W WILDER MD
Obstetrics & Gynecology
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-7200
VIRGINIA L ROYS CPRC
Peer Specialist
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6279
ERIN BOOMS
Nurse Practitioner (Family)
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6200
AMANDA LINNEE
Advanced Practice Midwife
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6100
DR. JAMES MATTHEW DIENER D.O.
Internal Medicine
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 779-0320
MARIANNE TISON DICKERSON CNM
Advanced Practice Midwife
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6100
ELISE MARIA LUCAS
Registered Nurse
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-7014
MRS. JENNIFER POINEAU BROWN CNM
Advanced Practice Midwife
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Munson Healthcare Otsego Memorial Hospital's NPI number?

The NPI number for Munson Healthcare Otsego Memorial Hospital is 1194646919. It was assigned to this organization in the NPPES registry on July 25, 2026. The provider is also known as Cadillac Primary Care & OBGYN.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 7985 S Mackinaw Trl, Cadillac, MI 49601. The listed phone number is (231) 876-6200.

What is Munson Healthcare Otsego Memorial Hospital's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Munson Healthcare Otsego Memorial Hospital was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.