MUNSON HEALTHCARE CHARLEVOIX HOSPITAL – NPI #1609477488
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

MUNSON HEALTHCARE CHARLEVOIX HOSPITAL is an urologist located in CHARLEVOIX, MI. NPPES has assigned the NPI number 1609477488 to MUNSON HEALTHCARE CHARLEVOIX HOSPITAL on November 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on Apr 24, 2026. 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 HEALTHCARE CHARLEVOIX HOSPITAL below.

NPI Profile for
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL

NPI Number
1609477488
Enumeration Date

(more than 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 HEALTHCARE CHARLEVOIX HOSPITAL
Primary location
11695 PARK AVE
SUITE A
CHARLEVOIX, MI 49720
Phone: (231) 487-2270 Fax: (231) 487-6168
1 Other location(s):
405 N Division Rd Ste 2
Petoskey, MI 49770-9046
Phone: (231) 487-2270
Fax: (231) 487-6168
Mailing address
Same as primary location
Organization Subpart
Yes - MUNSON HEALTHCARE CHARLEVOIX HOSPITAL is subpart of another organization.
Authorized Official
MICHAEL FRYE
PRES. AMBULATORY & BUS. DEVELOPMENT
Phone: (704) 458-8010
Updated
Certification Date
Apr 24, 2026

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
208800000X
- Urology (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.