MUNSON MEDICAL CENTER – NPI #1992478705
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

MUNSON MEDICAL CENTER is a provider located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1992478705 to MUNSON MEDICAL CENTER on July 28, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MUNSON MEDICAL CENTER below.

NPI Profile for
MUNSON MEDICAL CENTER

NPI Number
1992478705
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MUNSON MEDICAL CENTER
Primary location
217 S MADISON ST
TRAVERSE CITY, MI 49684-2321
Phone: (231) 392-8400 Fax: (231) 392-8467
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALICIA MAITLAND
CFO
Phone: (231) 935-7840
Updated
Certification Date
Jun 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.