MUNSON HEALTHCARE CHARLEVOIX PEDIATRICS
NPI 1992074777
Pediatrics in Charlevoix, MI

Q: What is Munson Healthcare Charlevoix Hospital's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since December 22, 2011CLIA 23D0682121 · Microscopy

14734 PARK AVE, CHARLEVOIX, MI 49720(231) 547-6554(231) 547-1179 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Munson Healthcare Charlevoix Pediatrics NPPES

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

MUNSON HEALTHCARE CHARLEVOIX PEDIATRICS (NPI 1992074777) is a healthcare organization registered as a pediatrics in Charlevoix, Michigan and active in the NPI registry since December 2011. The organization holds a CLIA Microscopy certificate valid through November 28, 2026 and lists Mark Hepler, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992074777

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMUNSON HEALTHCARE CHARLEVOIX HOSPITAL

Location Address14734 PARK AVECharlevoix, MI 49720-1927

Mailing Address14734 Park AveCharlevoix, MI 49720-1927 · (231) 547-6554 · Fax (231) 547-1179

Phone(231) 547-6554

Fax(231) 547-1179

Organization SubpartYesParent: Munson Healthcare

Authorized OfficialMark HeplerCfo · (231) 935-5000

Enumeration DateDecember 22, 2011

Last NPPES UpdateMarch 7, 2016

✔ NPI 1992074777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

14734 PARK AVE, Charlevoix, MI 49720

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Other Names 1

Doing Business AsMunson Healthcare Charlevoix Pediatrics

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0682121

Munson Healthcare Charlevoix Primary Care · Charlevoix, MI

Active · expires Nov 28, 2026

CLIA Number23D0682121

Laboratory TypePhysician Office

Certificate Effective DateNovember 29, 2024

Certificate Expiration DateNovember 28, 2026

Laboratory DirectorBenjamin Edwards

Laboratory Phone(231) 547-6554

Laboratory LocationMunson Healthcare Charlevoix Primary Care14734 Park Avenue, Charlevoix, MI 49720

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

RACHEL BETH NEWMAN M.D.

Pediatrics