MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL – NPI #1821064643
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL is a provider located in GAYLORD, MI. NPPES has assigned the NPI number 1821064643 to MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL on February 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Apr 17, 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 OTSEGO MEMORIAL HOSPITAL below.

NPI Profile for
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

NPI Number
1821064643
Enumeration Date

(more than 20 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 OTSEGO MEMORIAL HOSPITAL
Other name(s)
All associated names:
Doing Business As (dba)
Munson Healthcare OMH Medical Group-Gaylord
Doing Business As (dba)
OMH MEDICAL GROUP
Primary location
829 N CENTER AVE
GAYLORD, MI 49735
Phone: (989) 731-7708 Fax: (989) 731-7929
1 Other location(s):
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone: (231) 417-6000
Mailing address
825 N CENTER AVE
GAYLORD, MI 49735-1592
Phone: (989) 731-7920 Fax: (989) 731-7776
Organization Subpart
No
Authorized Official
MICHAEL FRYE
PRES. AMBULATORY & BUS. DEVELOPMENT
Phone: (704) 458-8010
Updated
Certification Date
Apr 17, 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
208D00000X
- General Practice (Primary)
208800000X
- Urology
208600000X
- Surgery
207X00000X
- Orthopaedic Surgery

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.