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MUNSON MEDICAL CENTER
NPI 1194752345
Physician Assistant in Traverse City, MI

Active since June 26, 2006
1105 6TH ST, TRAVERSE CITY, MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Munson Medical Center NPPES

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

MUNSON MEDICAL CENTER (NPI 1194752345) is a healthcare organization registered as a physician assistant in Traverse City, Michigan and active in the NPI registry since June 2006. The organization lists Ellen O Smith, President Ambulatory Clinics, as its authorized official.

NPPES Registry Identity

NPI1194752345
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMUNSON MEDICAL CENTER
Location Address1105 6TH STTraverse City, MI 49684-2349
Mailing AddressPo Box 1131Traverse City, MI 49685-1131 · (231) 935-5000
Phone(231) 935-5000
Organization SubpartNo
Authorized OfficialEllen O SmithPresident Ambulatory Clinics · (231) 935-5000
Enumeration DateJune 26, 2006
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1194752345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1105 6TH ST, Traverse City, MI 49684
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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

Other Providers at the Same Location NPPES 20

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

ADVANCED WOUND CARE & HYPERBARIC PHYSICIANS OF TRAVERSE CITY, PLC
Emergency Medicine
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673
BEVIN CLAYTON DO
Emergency Medicine
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673
TRAVERSE ANESTHESIA ASSOCIATES, PC
Anesthesiology (Pain Medicine)
1105 6TH ST, MUNSON MEDICAL CENTER/TRAVERSE ANESTHESIA ASSOCIATES, P
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MR. DONALD EDWARD ROUTZAHN RPH
Pharmacist
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. PHILIP MICHAEL DIMONDO PHARMD
Pharmacist
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6559
NATALIE C CREW RD
Dietitian, Registered
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6447
KARLA A FISHBURN RN
Registered Nurse
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3321
DALE C BLUM M.D.
Emergency Medicine (Emergency Medical Services)
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673

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 Medical Center's NPI number?

The NPI number for Munson Medical Center is 1194752345. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Munson Medical Center located?

Munson Medical Center is located at 1105 6th St, Traverse City, MI 49684. The listed phone number is (231) 935-5000.

What is Munson Medical Center's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Munson Medical Center was last updated on September 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.